Individual provider Active NPI

Carla Marie Matos, C-SLPA

  • Speech-Language Assistant
  • Los Alamitos, CA
National Provider Identifier
1467169284
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SPA7468 Issued in CA
Practice address
3722 Katella Ave Ste C
Los Alamitos, CA 90720-3102
Phone
(562) 270-2970
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SPA7468 CA Primary

Addresses

Primary practice location

3722 Katella Ave Ste C
Los Alamitos, CA 90720-3102

Mailing address

2611 Marber Ave
Long Beach, CA 90815-1137

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
SPA7468CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chatterbox Speech Pathology, Inc Speech-Language Assistant CurrentSince Nov 6, 2022 Accepting new patients

Locations

3722 Katella Ave
#C
Los Alamitos, CA 90720
Phone (562) 270-2970

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1467169284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 MARBER AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 KATELLA AVE STE C",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203102",
            "telephone_number": "562-270-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "CARLA",
        "middle_name": "MARIE",
        "credential": "C-SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA7468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.