Active NPI
Mini Diblasi, M.S.
- Marriage & Family Therapist
- La Verne, CA
National Provider Identifier
1861521924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF44821
- Practice address
- 1350 3Rd St
La Verne, CA 91750-5201 - Phone
- (909) 596-5921
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF44821 | CA | Primary |
Addresses
Primary practice location
1350 3Rd St
La Verne, CA 91750-5201
Mailing address
200 S Huntington Ave
San Dimas, CA 91773-2444
Phone (909) 599-4917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF44821 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861521924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S HUNTINGTON AVE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732444",
"telephone_number": "909-599-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 3RD ST",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917505201",
"telephone_number": "909-596-5921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBLASI",
"first_name": "MINI",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF44821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Verne, CA
- Dental Care of la Verne
- Dental Corporation of Louis Z. Stromberg, DDS (La Verne Dental Group)
- Dental Corporation of Wade Melvin Banner DMD Inc
- Emma Depew, M.S. CCC-SLP
- Diane Boval DDS a Professional Dental Corp (Gold Coast Dental)
- Kim Dinh, PA-C
- Donald J Guido OD Inc (La Verne Optometry)
- Jason Dorn, MPT
- Dr. Kenneth Boyer, O.D., Inc
- Dr. Kim Optometry Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.