Individual provider Active NPI

Angela Evenich, MS CCC-SLP

  • Speech-Language Pathologist
  • Monrovia, CA
National Provider Identifier
1194580407
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
37907 Issued in CA
Practice address
147 E Olive Ave
Monrovia, CA 91016-3407
Phone
(626) 355-1729
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 37907 CA Primary

Addresses

Primary practice location

147 E Olive Ave
Monrovia, CA 91016-3407

Mailing address

147 E Olive Ave
Monrovia, CA 91016-3407
Phone (626) 355-1729

Other practice location 1

4380 Auburn Blvd
Sacramento, CA 95841-4148
Phone (916) 444-0033

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Jabbergym, LLC Speech-Language Pathologist CurrentSince Feb 1, 2024 Accepting new patients
Justine Sherman & Assoc Inc Speech-Language Pathologist CurrentSince Mar 11, 2025 Accepting new patients
Jabbergym, LLC Speech-Language Pathologist CurrentSince Feb 1, 2024 Accepting new patients
Justine Sherman and Associates Speech-Language Pathologist CurrentSince May 4, 2025 Accepting new patients

Locations

147 E Olive Ave
Monrovia, CA 91016
Phone (626) 355-1729

4380 Auburn Blvd
Sacramento, CA 95841
Phone (916) 444-0033

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1194580407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E OLIVE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163407",
            "telephone_number": "626-355-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E OLIVE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163407",
            "telephone_number": "626-355-1729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4380 Auburn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958414148",
            "country_code": "US",
            "telephone_number": "916-444-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVENICH",
        "first_name": "ANGELA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "37907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.