Active NPI
Lauren Allen Grossman, M.S., CCC-SLP
- Speech-Language Pathologist
- Pasadena, CA
National Provider Identifier
1114567070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 29682
- Practice address
- 620 N Lake Ave
Pasadena, CA 91101-1220 - Phone
- (626) 793-7350
- Fax
- (626) 793-7341
- NPI assigned
- Jan 8, 2020
- 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 | 29682 | CA | Primary |
Addresses
Primary practice location
620 N Lake Ave
Pasadena, CA 91101-1220
Mailing address
2435 E Orange Grove Blvd
Pasadena, CA 91104-4917
Phone (626) 318-9488
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 |
|---|---|---|---|
| 29682 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1114567070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 E ORANGE GROVE BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911044917",
"telephone_number": "626-318-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N LAKE AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011220",
"telephone_number": "626-793-7350",
"fax_number": "626-793-7341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "LAUREN",
"middle_name": "ALLEN",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "29682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.