Individual provider Active NPI

Aldrin Allen Ysip, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Harbor City, CA
National Provider Identifier
1225816705
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
35612 Issued in CA
Practice address
24328 Vermont Ave Ste 318
Harbor City, CA 90710-2314
Phone
(424) 250-9615
NPI assigned
Sep 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 14317203 CA
Speech-Language Pathologist 235Z00000X 35612 CA Primary

Addresses

Primary practice location

24328 Vermont Ave Ste 318
Harbor City, CA 90710-2314

Mailing address

1051 Via Navarra
San Pedro, CA 90732-2308
Phone (805) 406-1268

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
14317203CAMDHearing and Speech Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1225816705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 VIA NAVARRA",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322308",
            "telephone_number": "805-406-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24328 VERMONT AVE STE 318",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102314",
            "telephone_number": "424-250-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YSIP",
        "first_name": "ALDRIN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "14317203",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.