Genesis Bascomb, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP33408 Issued in CA

Practice address

810 Briar Privado
Ontario, CA 91762-6820

Phone

(951) 660-8351

NPI assigned

Aug 23, 2024

Sex

Female

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 Science

State licenses

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1497588669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BRIAR PRIVADO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626820",
            "telephone_number": "951-660-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BRIAR PRIVADO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626820",
            "telephone_number": "951-660-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCOMB",
        "first_name": "GENESIS",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP33408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Barron
• Dennise Lacuesta Bars
• Grace Bartlett
• Taylor Alexis Barton
• Kathryn Bartosh
• Daniel Matthew Batallones
• Dakota Blue Bates, MSW INTERN
• Erika Batista
• Linden Batiste, PAC
• Alexandra Batres

• Speech-Language Pathologist in Ontario, CA
• Providers in Ontario, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.