NPIMap

Organization Active NPI

David Scott Elam

Doing business as Cross Speech Rehabilitation Agency

  • Speech-Language Pathologist
  • Lompoc, CA
National Provider Identifier
1215139068
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP5420 Issued in CA
Legal business name
DAVID SCOTT ELAM
Doing business as
Cross Speech Rehabilitation Agency
Practice address
191 Burton Mesa Blvd
#D
Lompoc, CA 93436-1400
Phone
(805) 733-4542
Fax
(805) 733-4392
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Mr. David Scott Elam, M.A. CCCNPI 1346230570
Title
Director
Phone
(805) 733-4542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP5420 CA Primary

Addresses

Primary practice location

191 Burton Mesa Blvd
#D
Lompoc, CA 93436-1400

Mailing address

191 Burton Mesa Blvd
#D
Lompoc, CA 93436-1400
Phone (805) 733-4542

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ05144ZOtherCABLUE SHIELD
0663623OtherCATRIWEST

Other names 1

  • CROSS SPEECH REHABILITATION AGENCY Doing business as

National Provider Directory

National Provider Directory

Locations

191 Burton Mesa Blvd
Ste D
Lompoc, CA 93436
Phone (805) 733-4542

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1215139068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BURTON MESA BLVD",
            "address_2": "#D",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934361400",
            "telephone_number": "805-733-4542",
            "fax_number": "805-733-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BURTON MESA BLVD",
            "address_2": "#D",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934361400",
            "telephone_number": "805-733-4542",
            "fax_number": "805-733-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SCOTT ELAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-733-4542",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A. CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP5420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05144Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "0663623",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSS SPEECH REHABILITATION AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.