Active NPI
Jill M. Hoffeller, JILL HOFFELLER M.S.
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1104905025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5254
- Practice address
- 872 Wellesley Ave
Los Angeles, CA 90049-5226 - Phone
- (310) 207-9797
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- 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 | 5254 | CA | Primary |
Addresses
Primary practice location
872 Wellesley Ave
Los Angeles, CA 90049-5226
Mailing address
872 Wellesley Ave
Los Angeles, CA 90049-5226
Phone (310) 207-9797
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5254 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104905025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872 WELLESLEY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495226",
"telephone_number": "310-207-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 WELLESLEY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495226",
"telephone_number": "310-207-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFELLER",
"first_name": "JILL",
"middle_name": "M.",
"credential": "JILL HOFFELLER M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "5254",
"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.