Individual provider Active NPI

Amelia Juarez Rogers, M.A. CCC

  • Speech-Language Pathologist
  • Hermosa Beach, CA
National Provider Identifier
1164722708
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 7746 Issued in CA
Practice address
2401 Pacific Coast Hwy Ste 206
Hermosa Beach, CA 90254-2735
Phone
(310) 351-4065
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 7746 CA Primary

Addresses

Primary practice location

2401 Pacific Coast Hwy Ste 206
Hermosa Beach, CA 90254-2735

Mailing address

2401 Pacific Coast Hwy Ste 206
Hermosa Beach, CA 90254-2735
Phone (310) 351-4065

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 Arts

State licenses

LicenseStateTypeSpecialty
SP 7746CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1164722708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PACIFIC COAST HWY STE 206",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542735",
            "telephone_number": "310-351-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PACIFIC COAST HWY STE 206",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542735",
            "telephone_number": "310-351-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "AMELIA",
        "middle_name": "JUAREZ",
        "credential": "M.A. CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 7746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.