Neda Rezapoor, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

20444 Issued in CA

Practice address

8544 Burton Way
305
Los Angeles, CA 90048-3385

Phone

(310) 866-9958

NPI assigned

Apr 3, 2013

Last updated

Apr 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive and Shine Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Beverly Hills, CA
  • NPI 1245620384
  Medicare reassignment NPD Authorized official
• Thrive and Shine Therapy

  • Pediatric Physical Therapist
  • Los Angeles, CA
  • NPI 1598583171
  Authorized official Same address or phone
• Thrive and Shine: Speech-Language Pathology

  • Early Intervention Provider Agency
  • Los Angeles, CA
  • NPI 1750708574
  Authorized official Same address or phone

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1275876674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8544 BURTON WAY",
            "address_2": "305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483385",
            "telephone_number": "310-866-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8544 BURTON WAY",
            "address_2": "305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483385",
            "telephone_number": "310-866-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAPOOR",
        "first_name": "NEDA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahin Rezaee, MD
• Atefeh Rezaei, MD
• Zeina Rezaei
• Panteha Rezaeian, M.D.
• Bahman Rezaipour, PHD
• Charlotte Reznick, PH.D.
• Gary Reznik, MD
• Rezolve Telemed
• Diana Rezvani, DO
• Mohammad Rezvani, M.D.

• Speech-Language Pathologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.