Active NPI
Stephanie Deslate, NP
- Family Nurse Practitioner
- La Mirada, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95015073
- Practice address
- 12675 La Mirada Blvd Ste 220
La Mirada, CA 90638-2235 - Phone
- (562) 967-2273
- Fax
- (562) 967-2911
- NPI assigned
- Mar 29, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95015073 | CA | Primary |
| Registered Nurse | 163W00000X | 95114124 | CA |
Addresses
Primary practice location
12675 La Mirada Blvd Ste 220
La Mirada, CA 90638-2235
Mailing address
12675 La Mirada Blvd Ste 220
La Mirada, CA 90638-2235
Other practice location 1
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121
Other practice location 2
11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000
Other practice location 3
12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000
12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
6557 Greenleaf Ave
Whittier, CA 90601-4108
Hospital & facility affiliations
- Pih Health Hospital-Whittier
- Pih Health Downey Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95114124 | CA | MD | Registered Nurse |
| 95015073 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients |
Locations
11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sdeslate42446@altamed.direct-ci.com
- stephaniedeslate@pihh.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Surgery Physician
- Downey, CA
- NPI 1255713566
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1962089508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12675 LA MIRADA BLVD STE 220",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12675 LA MIRADA BLVD STE 220",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382235",
"telephone_number": "562-967-2273",
"fax_number": "562-967-2911"
}
],
"practiceLocations": [
{
"address_1": "1225 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171901",
"country_code": "US",
"telephone_number": "213-977-2121",
"fax_number": "213-482-2770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11500 Brookshire Ave",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902414917",
"country_code": "US",
"telephone_number": "562-904-5000",
"fax_number": "562-904-5140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12401 Washington Blvd",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906021006",
"country_code": "US",
"telephone_number": "562-698-0811",
"fax_number": "590-256-2789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESLATE",
"first_name": "STEPHANIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95015073",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95114124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.