STEPHANIE DESLATE NP
NPI 1962089508
Nurse Practitioner - Family in La Mirada, CA
About Stephanie Deslate Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE DESLATE NP (NPI 1962089508) is an individual family provider in La Mirada, California, licensed in California (95015073) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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
Stephanie Deslate Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Deslate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Mirada, CA 90638
- Reassigned Medicare billing, California enrollment
- 840 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA MIRADA, CA 90638
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 Stephanie Deslate's NPI number?
The NPI number for Stephanie Deslate is 1962089508. It was assigned to this individual provider in the NPPES registry on March 29, 2021.
Where is Stephanie Deslate located?
Stephanie Deslate practices at 12675 La Mirada Blvd Ste 220, La Mirada, CA 90638. The listed phone number is (562) 967-2273.
What is Stephanie Deslate's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Deslate enrolled in Medicare?
Yes. Stephanie Deslate 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 Stephanie Deslate's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Deslate reassigns Medicare benefits to Pih Health Physicians (La Mirada, 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 Stephanie Deslate'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 Stephanie Deslate was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Stephanie Deslate, NP · NPI 1962089508
Family physician in La Mirada, California. Individual provider, active in the CMS NPPES registry since March 29, 2021.
## Identity
- **NPI:** 1962089508 (Entity type: Individual)
- **Enumerated:** March 29, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95015073 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12675 LA MIRADA BLVD STE 220, La Mirada, CA 90638-2235
- **Phone:** (562) 967-2273 · **Fax:** (562) 967-2911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pih Health Physicians (NPI 1982857967, La Mirada, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962089508) · Data from the CMS NPPES public registry.