Adia Gorham, MS, CC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17498 Issued in CA

Practice address

3652 Kensley Dr
Inglewood, CA 90305-2233

Phone

(323) 691-1859

NPI assigned

Jun 28, 2011

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• McCullough Consultants LLC

  • Speech-Language Pathologist
  • Los Angeles, CA
  • NPI 1730454992
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1538456587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 KENSLEY DR",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052233",
            "telephone_number": "323-691-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 KENSLEY DR",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052233",
            "telephone_number": "323-691-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORHAM",
        "first_name": "ADIA",
        "name_prefix": "Mrs.",
        "credential": "MS, CC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Gonzalez
• Sheila Gonzalez
• Jeanne Goodbar
• Gopec Medical Inc.
• Desirae Simone Gordon
• Grace Hopper Stem Academy
• Adriane Kathleen Graham, D.D.S.
• Janaye Granberry
• Carneka Grant
• Charles Grant Jr.

• Speech-Language Pathologist in Inglewood, CA
• Providers in Inglewood, 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 24, 2016; 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.