Jaclyn Cruz Speech Language Therapy, Inc. a Professional Corporation

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

JACLYN CRUZ SPEECH LANGUAGE THERAPY, INC. A PROFESSIONAL CORPORATION

Practice address

13658 Hawthorne Blvd Ste 205
Hawthorne, CA 90250-5822

Phone

(310) 363-0251

NPI assigned

Feb 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaclyn CruzNPI 1134691330

Title

Ceo

Phone

(310) 363-0251

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Ann Cruz, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Hawthorne, CA
  • NPI 1134691330
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1053010124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13658 HAWTHORNE BLVD STE 205",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505822",
            "telephone_number": "310-363-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13658 HAWTHORNE BLVD STE 205",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505822",
            "telephone_number": "310-363-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN CRUZ SPEECH LANGUAGE THERAPY, INC. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-363-0251"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.