Active NPI
Vivian Quezada, SPEECH ASSISTANT
- Speech-Language Assistant
- Los Angeles, CA
National Provider Identifier
1114460029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 2079
- Practice address
- 1111 W 6TH St
11
Los Angeles, CA 90017-1800 - Phone
- (121) 360-7440
- NPI assigned
- Nov 24, 2016
- 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 Assistant | 2355S0801X | 2079 | CA | Primary |
Addresses
Primary practice location
1111 W 6TH St
11
Los Angeles, CA 90017-1800
Mailing address
1111 W 6TH St
Suite 11
Los Angeles, CA 90017-1800
Phone (121) 360-7440
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 |
|---|---|---|---|
| 2079 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479945600000",
"number": "1114460029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W 6TH ST",
"address_2": "SUITE 11",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171800",
"telephone_number": "121-360-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W 6TH ST",
"address_2": "11",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171800",
"telephone_number": "121-360-7440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEZADA",
"first_name": "VIVIAN",
"credential": "SPEECH ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-24",
"last_updated": "2016-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "2079",
"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 Nov 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.