Active NPI
Simone Moss
- Speech-Language Pathologist
- West Hollywood, CA
National Provider Identifier
1174080857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 36200
- Practice address
- 8700 Beverly Blvd
West Hollywood, CA 90048-1804 - Phone
- (310) 423-3277
- NPI assigned
- Feb 28, 2019
- 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 | 36200 | CA | Primary |
Addresses
Primary practice location
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Mailing address
1628 S Bundy Dr Apt 106
Los Angeles, CA 90025-2672
Phone (909) 896-4645
Other practice location 1
1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 771-8000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1174080857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 S BUNDY DR APT 106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252672",
"telephone_number": "909-896-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "310-423-3277"
}
],
"practiceLocations": [
{
"address_1": "1100 W Stewart Dr",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683849",
"country_code": "US",
"telephone_number": "714-771-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSS",
"first_name": "SIMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "36200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.