Jose Cazalla, M.A

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

C-4812 Issued in NM

Practice address

505 S Main St Ste 249
Las Cruces Public Schools
Las Cruces, NM 88001

Phone

(575) 805-1137

NPI assigned

Oct 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1487954061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 S TRIVIZ DR APT E17",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 249",
            "address_2": "LAS CRUCES PUBLIC SCHOOLS",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88001",
            "telephone_number": "575-805-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZALLA",
        "first_name": "JOSE",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-4812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Marie Cavanaugh, MSN, APRN, PMHNP-BC
• Mark Cavaretta, MD
• Claudia Judith Cavazos
• Jianna Caviness
• Renante T Cayme, PT
• Joseph Mario Cazares Parson, MD
• Mariana Cazares-Rodriguez, LMHC
• Anahi Cazares
• Collette Ceballes, MS
• Olivia Ceballes, LMSW

• Speech-Language Pathologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.