Active NPI
Venessa Leeann Roca, M.ED., CCC-SLP
- Speech-Language Pathologist
- Santa Monica, CA
National Provider Identifier
1285006023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP11502
- Practice address
- 1218 6TH Street
Santa Monica, CA 90401 - Phone
- (310) 874-8148
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP11502 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 2462 | OK |
Addresses
Primary practice location
1218 6TH Street
Santa Monica, CA 90401
Mailing address
5300 Playa Vista Dr.
#18
Playa Vista, CA 90094
Phone (310) 874-8148
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2462 | OK | MD | Physical Therapy Assistant |
| SP11502 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1285006023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 PLAYA VISTA DR.",
"address_2": "#18",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "90094",
"telephone_number": "310-874-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 6TH STREET",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90401",
"telephone_number": "310-874-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCA",
"first_name": "VENESSA",
"middle_name": "LEEANN",
"name_prefix": "Mrs.",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP11502",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "2462",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.