Weldon Charles Dienzo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1666 Issued in CA

Practice address

12627 Studebaker Rd
Norwalk, CA 90650-2518

Phone

(562) 868-4767

NPI assigned

Apr 19, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1881214955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 E LA JARA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908053847",
            "telephone_number": "562-688-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 STUDEBAKER RD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502518",
            "telephone_number": "562-868-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENZO",
        "first_name": "WELDON",
        "middle_name": "CHARLES",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-19",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "1666",
            "primary": true
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "CA",
            "license": "1666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Manuela Diaz
• Mariah Dianne Diaz
• Callie Dickson
• Didi Hirsch MHS
• Lisa Linoa Dieckmann, PHD
• Jonathan The Tai Diep
• Michelle Xue Ding, PHARM.D.
• Breana Dipinto
• Blanca Dixon, COTA
• Tram DO, RPH

• Occupational Therapy Assistant in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.