Individual provider Active NPI

Jessica Rose Schaub, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Thousand Oaks, CA
National Provider Identifier
1083202469
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
32885 Issued in CA
Practice address
3557 Campus Dr
Thousand Oaks, CA 91360-2744
Phone
(805) 241-2000
NPI assigned
Jan 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 32885 CA Primary

Addresses

Primary practice location

3557 Campus Dr
Thousand Oaks, CA 91360-2744

Mailing address

106 S Santa Cruz St
Ventura, CA 93001-3553
Phone (805) 512-6964

Other practice location 1

4020 Loma Vista Rd
Ventura, CA 93003-1801
Phone (805) 642-4196

Other practice location 2

4904 Telegraph Rd
Ventura, CA 93003-4109
Phone (805) 642-4101

Other names 1

  • Jessica Rose White Other name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
32885CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1083202469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S SANTA CRUZ ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013553",
            "telephone_number": "805-512-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 CAMPUS DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602744",
            "telephone_number": "805-241-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Loma Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031801",
            "country_code": "US",
            "telephone_number": "805-642-4196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4904 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930034109",
            "country_code": "US",
            "telephone_number": "805-642-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUB",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WHITE",
            "middle_name": "ROSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.