Individual provider Active NPI

Johanne Vaval, MA.CCC SLP

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1326370768
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP15037 Issued in CA
Practice address
3734 W Slauson Ave
Los Angeles, CA 90043-2933
Phone
(323) 584-4122
Fax
(310) 695-6362
NPI assigned
Feb 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP15037 CA Primary

Addresses

Primary practice location

3734 W Slauson Ave
Los Angeles, CA 90043-2933

Mailing address

400 Corporate Pointe
Suite 300
Culver City, CA 90230-7615
Phone (310) 242-8929

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

State licenses

LicenseStateTypeSpecialty
SP15037CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Keys, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1326370768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CORPORATE POINTE",
            "address_2": "SUITE 300",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307615",
            "telephone_number": "310-242-8929",
            "fax_number": "310-695-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432933",
            "telephone_number": "323-584-4122",
            "fax_number": "310-695-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVAL",
        "first_name": "JOHANNE",
        "credential": "MA.CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP15037",
            "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 Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.