Active NPI
Aldrin Allen Ysip, M.A.,CCC-SLP
- Speech-Language Pathologist
- Harbor City, CA
National Provider Identifier
1225816705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 35612
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14317203 | CA | MD | Hearing 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.