Active NPI
Christie Deluca, MS
- Speech-Language Pathologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 29389
- Practice address
- 8635 W 3Rd St Ste 590W
Los Angeles, CA 90048-6163 - Phone
- (310) 423-1220
- Fax
- (310) 423-1230
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5808 | CT | |
| Speech-Language Pathologist | 235Z00000X | 027429 | NY | |
| Speech-Language Pathologist | 235Z00000X | 76986 | MA | |
| Speech-Language Pathologist | 235Z00000X | 29389 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St Ste 590W
Los Angeles, CA 90048-6163
Mailing address
323 Marlborough St Apt 11
Boston, MA 02116-1635
Other practice location 1
45 Francis St
Boston, MA 02115-6105
Phone (914) 260-3579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29389 | CA | MD | Chiropractor |
| 5808 | CT | MD | Speech-Language Pathologist |
| 027429 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey Bay Speech Therapy, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
8635 W 3rd St
Ste 590W
Los Angeles, CA 90048
Phone (310) 423-1220
667 Lighthouse Ave
Ste 305
Pacific Grove, CA 93950
Phone (831) 318-0558
667 Lighthouse Ave
Ste 201
Pacific Grove, CA 93950
Phone (831) 204-0019
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Pacific Grove, CA
- NPI 1336638634
CA, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1255829669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 MARLBOROUGH ST APT 11",
"city": "BOSTON",
"state": "MA",
"postal_code": "021161635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 590W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486163",
"telephone_number": "310-423-1220",
"fax_number": "310-423-1230"
}
],
"practiceLocations": [
{
"address_1": "45 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156105",
"country_code": "US",
"telephone_number": "914-260-3579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELUCA",
"first_name": "CHRISTIE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "5808",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027429",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "76986",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "29389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.