STEPHANIE DESLATE NP NPI 1962089508

NPI Information

  • NPI: 1962089508
  • Provider Name: STEPHANIE DESLATE, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12675 LA MIRADA BLVD STE 220
    LA MIRADA, CA
    ZIP 90638
  • Phone: (562) 967-2273

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NPI Details

Stephanie Deslate, NP is a family nurse practitioner in La Mirada, CA. Stephanie Deslate, NP NPI is 1962089508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12675 LA MIRADA BLVD STE 220
LA MIRADA, CA
ZIP 90638-235
Phone: (562) 967-2273
Fax: (562) 967-2911

The NPI 1962089508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2021 and was last updated on 8/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95015073CALIFORNIAYes
2163W00000XRegistered Nurse95114124CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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