Active NPI
Dustin James Guay, CCC-SLP
- Speech-Language Pathologist
- Santa Monica, CA
National Provider Identifier
1063994499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 28783
- Practice address
- 2908 Exposition Blvd Apt 4
Santa Monica, CA 90404-5060 - Phone
- (267) 893-8039
- NPI assigned
- Sep 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 28783 | CA | Primary |
Addresses
Primary practice location
2908 Exposition Blvd Apt 4
Santa Monica, CA 90404-5060
Mailing address
2908 Exposition Blvd Apt 4
Santa Monica, CA 90404-5060
Phone (267) 893-8039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy West, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1063994499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 EXPOSITION BLVD APT 4",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904045060",
"telephone_number": "267-893-8039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 EXPOSITION BLVD APT 4",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904045060",
"telephone_number": "267-893-8039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUAY",
"first_name": "DUSTIN",
"middle_name": "JAMES",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-01",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "28783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.