Healthcare Provider Details

I. General information

NPI: 1487558458
Provider Name (Legal Business Name): KARI ELLEN DIUGUID PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARI ELLEN SESMA PA

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 MOUNT AUBURN ST
CAMBRIDGE MA
02138-5502
US

IV. Provider business mailing address

27931 BEECHNUT CIR
VALENCIA CA
91354-1368
US

V. Phone/Fax

Practice location:
  • Phone: 818-216-3390
  • Fax:
Mailing address:
  • Phone: 818-216-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberRT100219
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: