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STEPHANIE DESLATE NP
NPI 1962089508
Nurse Practitioner - Family in La Mirada, CA

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
12675 LA MIRADA BLVD STE 220, LA MIRADA, CA 90638(562) 967-2273(562) 967-2911 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2025, Aug 16, 2022, Sep 18, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1962089508
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE DESLATECredential: NP
Location Address12675 LA MIRADA BLVD STE 220La Mirada, CA 90638-2235
Mailing Address12675 La Mirada Blvd Ste 220La Mirada, CA 90638-2235
Phone(562) 967-2273
Fax(562) 967-2911
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2021
Last NPPES UpdateAugust 21, 20254 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1962089508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95015073
Also ListedRegistered NurseTaxonomy 163W00000X · License 95114124 (CA)
12675 LA MIRADA BLVD STE 220, La Mirada, CA 90638
Open in Google Maps ↗

Secondary Practice Locations 3

Location 112401 Washington BlvdWhittier, CA 90602-1006 · Phone (562) 698-0811 · Fax (590) 256-2789
Location 211500 Brookshire AveDowney, CA 90241-4917 · Phone (562) 904-5000 · Fax (562) 904-5140
Location 31225 Wilshire BlvdLos Angeles, CA 90017-1901 · Phone (213) 977-2121 · Fax (213) 482-2770

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5193222693
PECOS Enrollment IDI20251009003411
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNG WOO KOH MD
Internal Medicine (Hospice and Palliative Medicine)
12675 LA MIRADA BLVD STE 220
LA MIRADA, CA 90638
Los Angeles County (562) 967-2273

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.

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 11 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.