Individual provider Active NPI

Taylor Alison Chia, CCC-SLP

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1528610847
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30784 Issued in CA
Practice address
11460 W Washington Blvd
Los Angeles, CA 90066-6030
Phone
(310) 337-7115
NPI assigned
Jul 16, 2019
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 60972333 WA
Speech-Language Pathologist 235Z00000X 30784 CA Primary

Addresses

Primary practice location

11460 W Washington Blvd
Los Angeles, CA 90066-6030

Mailing address

501 Center St Apt 9
El Segundo, CA 90245-3275
Phone (310) 740-2672

Other practice location 1

4455 W 117th St Ste 406
Hawthorne, CA 90250-2240
Phone (310) 740-2672

Other practice location 2

2905 Connelly Ave
Bellingham, WA 98225-8225
Phone (888) 635-7347

Other identifiers 1

IdentifierTypeStateIssuer
NGO356A223901OtherCAANTHEM BLUE CROSS

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://itssca.com/
Other URL https://itssca.com/

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
30784CAMDGeneral Practice Dentistry
60972333WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy West, Inc Speech-Language Pathologist CurrentSince Feb 19, 2023 Accepting new patients

Locations

11460 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 337-7115

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1528610847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CENTER ST APT 9",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453275",
            "telephone_number": "310-740-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666030",
            "telephone_number": "310-337-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4455 W 117th St Ste 406",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902502240",
            "country_code": "US",
            "telephone_number": "310-740-2672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2905 Connelly Ave",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982258225",
            "country_code": "US",
            "telephone_number": "888-635-7347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIA",
        "first_name": "TAYLOR",
        "middle_name": "ALISON",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60972333",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "NGO356A223901",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://itssca.com/",
            "affiliation": "N",
            "endpointDescription": "itssca",
            "address_1": "4455 W 117th St Ste 406",
            "city": "Hawthorne",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902502240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://itssca.com/",
            "affiliation": "N",
            "endpointDescription": "itssca",
            "address_1": "4455 W 117th St Ste 406",
            "city": "Hawthorne",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902502240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 17, 2021; 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.