MRS. MABEL DIZON DE LEON M.A. CCC-SLP
NPI 1205170453
Speech-Language Pathologist in Cerritos, CA

Q: What is Mabel De Leon's NPI number?

The NPI number for Mabel De Leon is 1205170453. It was assigned to this individual provider in the NPPES registry on November 11, 2012.

Q: What is Mabel De Leon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Mabel De Leon was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 11, 2012Accepts Medicare Assignment

11360 183RD ST., CERRITOS, CA 90703(562) 809-2167 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2021, Dec 21, 2021 (2 updates tracked since 2021).

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About Mrs. Mabel Dizon De Leon M.a. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MABEL DIZON DE LEON M.A. CCC-SLP (NPI 1205170453) is an individual speech-language pathologist provider in Cerritos, California, licensed in California (19769) and active in the NPI registry since November 2012. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1205170453

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. MABEL DIZON DE LEONCredential: M.A. CCC-SLP

Location Address11360 183RD ST.Cerritos, CA 90703

Mailing Address11360 183rd St.Cerritos, CA 90703 · (562) 809-2167

Phone(562) 809-2167

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 11, 2012

Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration

NPPES CertifiedDecember 29, 2021

✔ NPI 1205170453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 19769

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

11360 183RD ST., Cerritos, CA 90703

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mabel Dizon De Leon M.a. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052704715

PECOS Enrollment IDI20220202001163

Medicare Billing Reassignment

Medicare enrollment records show Mabel De Leon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

3.5 mi

Health Maintenance Organization

9400 ROSECRANS AVE
Bellflower, CA 90706

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1043242555 (562) 461-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mabel De Leon's NPI number?

The NPI number for Mabel De Leon is 1205170453. It was assigned to this individual provider in the NPPES registry on November 11, 2012.

Where is Mabel De Leon located?

Mabel De Leon practices at 11360 183rd St., Cerritos, CA 90703. The listed phone number is (562) 809-2167.

What is Mabel De Leon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mabel De Leon enrolled in Medicare?

Yes. Mabel De Leon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mabel De Leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mabel De Leon reassigns Medicare benefits to Southern California Permanente Medical Group (Bellflower, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mabel De Leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mabel De Leon was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.