Active NPI
Daija Ivy, M.S., CCC-SLP
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1437071669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202012645
- Practice address
- 633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005 - Phone
- (512) 377-6318
- NPI assigned
- Jul 28, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S-5501 | MS | |
| Speech-Language Pathologist | 235Z00000X | 2202012645 | VA | Primary |
Addresses
Primary practice location
633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005
Mailing address
156 Rickman Rd
Pontotoc, MS 38863-5416
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1437071669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 RICKMAN RD",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388635416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 W 5TH ST OFC 2876B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900712005",
"telephone_number": "512-377-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVY",
"first_name": "DAIJA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-28",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S-5501",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012645",
"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 Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.