MRS. MABEL DIZON DE LEON (M.A. CCC-SLP) – Speech-Language Pathologist, NPI 1205170453

MRS. MABEL DIZON DE LEON (M.A. CCC-SLP) is a healthcare provider. based in Cerritos, California. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.A. CCC-SLP. They hold a License No. 19769 (CA). The NPI Number for MRS. MABEL DIZON DE LEON (M.A. CCC-SLP) is 1205170453

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MABEL DIZON DE LEON (M.A. CCC-SLP)
NPI
1205170453
Phone
(562) 809-2167
Address
11360 183RD ST.
Enumeration Date
11 November 2012
Last Update Date
29 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5626579000
Graduation Year
2012 (14 years ago)
PAC ID
1052704715
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20220202001163
Address ID
CA902422812DO9353XHWYX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

603 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in CA

Provider Addresses for MRS. MABEL DIZON DE LEON (M.A. CCC-SLP)

  • 11360 183RD ST.

    CERRITOS, CA 90703

    Phone: (562) 809-2167

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220202001163IQualified Speech Language PathologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

What is the standard ID for MRS. MABEL DIZON DE LEON (M.A. CCC-SLP) in the U.S.?
In the U.S., MRS. MABEL DIZON DE LEON (M.A. CCC-SLP) is identified by NPI 1205170453.
Does the public listing show MRS. MABEL DIZON DE LEON (M.A. CCC-SLP) as active?
MRS. MABEL DIZON DE LEON (M.A. CCC-SLP)'s NPI record reflects an active status in NPPES.
Which specialty label fits MRS. MABEL DIZON DE LEON (M.A. CCC-SLP)?
NPPES ties MRS. MABEL DIZON DE LEON (M.A. CCC-SLP) to Speech-Language Pathologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. MABEL DIZON DE LEON (M.A. CCC-SLP)?
MRS. MABEL DIZON DE LEON (M.A. CCC-SLP) shows a connection to Cerritos, California in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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