Individual provider Active NPI

Josephine Abisha Jimenez, M.A., SLP

  • Speech-Language Pathologist
  • Torrance, CA
National Provider Identifier
1235797556
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3521 Lomita Blvd Ste 201
Torrance, CA 90505-5040
Phone
(310) 856-8528
NPI assigned
Jun 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

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

Addresses

Primary practice location

3521 Lomita Blvd Ste 201
Torrance, CA 90505-5040

Mailing address

20920 Shearer Ave
Carson, CA 90745-1232
Phone (310) 518-4867

Other practice location 1

633 W 5th St Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

Other names 1

  • Josephine Bartolome Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231204001783 CA Practitioner - Qualified Speech Language Pathologist 7012365919 Reassigns benefits to 1 organization
I20240820001864 HI Practitioner - Qualified Speech Language Pathologist 7012365919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

633 W 5TH St
Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Single Specialty CurrentSince Aug 15, 2024 Accepting new patients
Expressable Speech-Language Pathology, P.C. Single Specialty CurrentSince Dec 18, 2023 Accepting new patients
Lynne Alba Speech Therapy Solutions, P.C. Single Specialty Past Accepting new patients

Locations

750 W Dimond Blvd
Ste 103
Anchorage, AK 99515
Phone (408) 480-5534

633 W 5th St
Ste 2876B
Los Angeles, CA 90071

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 3

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": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1235797556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20920 SHEARER AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451232",
            "telephone_number": "310-518-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 LOMITA BLVD STE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055040",
            "telephone_number": "310-856-8528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 W 5th St Ofc 2876B",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900712005",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JOSEPHINE",
        "middle_name": "ABISHA",
        "name_prefix": "Ms.",
        "credential": "M.A., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-01",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "BARTOLOME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.