Active NPI
Tamara Lynn Backer, M.S. CCC-SLP
- Speech-Language Pathologist
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11998
- Practice address
- 1546 Windshore Way
Oxnard, CA 93035-1401 - Phone
- (805) 822-9968
- NPI assigned
- Nov 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11998 | CA | Primary |
Addresses
Primary practice location
1546 Windshore Way
Oxnard, CA 93035-1401
Mailing address
1546 Windshore Way
Oxnard, CA 93035-1401
Phone (805) 822-9968
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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 W Channel Islands Blvd
Port Hueneme, CA 93041-2130
Phone (805) 250-7505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11998 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Trees Physical Therapy & Wellness Inc | Current | Accepting new patients | |
| Second Wave Physical Therapy Inc. | Current | Accepting new patients | |
| Two Trees Physical Therapy & Wellness Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Bridge Communication Speech/Language Pathologists | Speech-Language Pathologist | Past | Accepting new patients |
| The Oaks Physical Therapists and Rehabilitation Specialists, Inc. | Past | Accepting new patients |
Locations
552 Sespe Ave
Fillmore, CA 93015
Phone (805) 242-4575
735 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505
721 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505
3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565
801 S Victoria Ave
Ventura, CA 93003
Phone (805) 250-7505
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Oxnard, CA
- NPI 1851082812
-
- Physical Therapist
- Ventura, CA
- NPI 1770830325
-
- Speech-Language Pathologist
- Oxnard, CA
- NPI 1518202399
-
- Physical Therapist
- Ventura, CA
- NPI 1205453305
Speech-Language Pathologist
-
- Physical Therapy Clinic/Center
- Thousand Oaks, CA
- NPI 1639115595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1457531618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1546 WINDSHORE WAY",
"city": "OXNARD",
"state": "CA",
"postal_code": "930351401",
"telephone_number": "805-822-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1546 WINDSHORE WAY",
"city": "OXNARD",
"state": "CA",
"postal_code": "930351401",
"telephone_number": "805-822-9968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKER",
"first_name": "TAMARA",
"middle_name": "LYNN",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "11998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.