Organization Active NPI

Roel'S Pediatric Developmental Services

  • Speech-Language Pathologist
  • South Pasadena, CA
National Provider Identifier
1124165121
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ROEL'S PEDIATRIC DEVELOPMENTAL SERVICES
Practice address
1151 El Centro St
Suite B
South Pasadena, CA 91030-5721
Phone
(626) 441-4445
Fax
(626) 441-4695
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Carmina Zavala
Title
Program Director
Phone
(626) 441-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1151 El Centro St
Suite B
South Pasadena, CA 91030-5721

Mailing address

1151 El Centro St
Suite B
South Pasadena, CA 91030-5721
Phone (626) 441-4445

National Provider Directory

National Provider Directory

Locations

1151 El Centro St
Ste B
South Pasadena, CA 91030
Phone (323) 345-1402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1124165121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 EL CENTRO ST",
            "address_2": "SUITE B",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305721",
            "telephone_number": "626-441-4445",
            "fax_number": "626-441-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 EL CENTRO ST",
            "address_2": "SUITE B",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305721",
            "telephone_number": "626-441-4445",
            "fax_number": "626-441-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROEL'S PEDIATRIC DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "ZAVALA",
        "authorized_official_first_name": "CARMINA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "626-441-4445"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.