Active NPI
Samantha Elizabeth Mevorach, M.S., CCC-SLP
- Speech-Language Pathologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP35551
- Practice address
- 12304 Santa Monica Blvd Ste 364
Los Angeles, CA 90025-1542 - Phone
- (310) 270-6597
- NPI assigned
- Nov 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | SI4023 | FL | |
| Speech-Language Pathologist | 235Z00000X | SP35551 | CA | Primary |
Addresses
Primary practice location
12304 Santa Monica Blvd Ste 364
Los Angeles, CA 90025-1542
Mailing address
9901 Washington Blvd
Culver City, CA 90232-2756
Phone (516) 987-4463
Other practice location 1
2023 S Westgate Ave
Los Angeles, CA 90025-6118
Phone (310) 899-9597
Other practice location 2
315 NE 10th Ave
Crystal River, FL 34429-4456
Phone (352) 795-7006
Other practice location 3
315 NE 10th Ave
Crystal River, FL 34429-4456
Phone (352) 795-7006
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI4023 | FL | MD | Speech-Language Assistant |
| SP35551 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Success Center | Speech-Language Pathologist | Current | Accepting new patients |
| Superior Therapy Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2023 S Westgate Ave
Los Angeles, CA 90025
Phone (310) 899-9597
315 NE 10th Ave
Crystal River, FL 34429
Phone (352) 795-7006
Organizations & group practices 2
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.
-
- Clinic/Center
- Crystal River, FL
- NPI 1134117542
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1497399042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 WASHINGTON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322756",
"telephone_number": "516-987-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12304 SANTA MONICA BLVD STE 364",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251542",
"telephone_number": "310-270-6597"
}
],
"practiceLocations": [
{
"address_1": "2023 S Westgate Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900256118",
"country_code": "US",
"telephone_number": "310-899-9597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 NE 10th Ave",
"address_purpose": "LOCATION",
"city": "Crystal River",
"state": "FL",
"postal_code": "344294456",
"country_code": "US",
"telephone_number": "352-795-7006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 NE 10th Ave",
"address_purpose": "LOCATION",
"city": "Crystal River",
"state": "FL",
"postal_code": "344294456",
"country_code": "US",
"telephone_number": "352-795-7006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEVORACH",
"first_name": "SAMANTHA",
"middle_name": "ELIZABETH",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI4023",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP35551",
"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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.