Active NPI
Joanna Cazden, MS-CCC
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1093869166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-9219
- Practice address
- 444 S San Vicente Blvd
# 701
Los Angeles, CA 90048-4165 - Phone
- (310) 423-9229
- Fax
- (310) 423-9290
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SP-9219 | CA | Primary |
Addresses
Primary practice location
444 S San Vicente Blvd
# 701
Los Angeles, CA 90048-4165
Mailing address
836 N California St
Burbank, CA 91505-2919
Phone (818) 845-6654
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-9219 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093869166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 N CALIFORNIA ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915052919",
"telephone_number": "818-845-6654",
"fax_number": "818-558-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S SAN VICENTE BLVD",
"address_2": "# 701",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484165",
"telephone_number": "310-423-9229",
"fax_number": "310-423-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAZDEN",
"first_name": "JOANNA",
"name_prefix": "Ms.",
"credential": "MS-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP-9219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.