Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Deslate, NP

Individual provider Family Nurse Practitioner · NPI 1962089508

Stephanie Deslate, NP is a Nurse Practitioner in LA Mirada, California. Qualified in 2019, 7 years ago. Practices with PIH Health Physicians, a 614-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

12675 La Mirada Blvd Ste 220
LA Mirada, CA 90638-2235
Phone: (562) 967-2273
Fax: (562) 967-2911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 11500 Brookshire Ave, Downey, CA 90241-4917 — (562) 904-5000
  • 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 — (213) 977-2121
  • 12401 Washington Blvd, Whittier, CA 90602-1006 — (562) 698-0811

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95015073 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95114124 (CA)

Record details

NPI number1962089508
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address12675 La Mirada Blvd Ste 220, La Mirada, CA 90638-2235

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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