Active NPI
Maggie Brauch, MA-CCC SLP
- Speech-Language Pathologist
- Culver City, CA
National Provider Identifier
1558096958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 33599
- Practice address
- 6076 Bristol Pkwy Ste 105
Culver City, CA 90230-6600 - Phone
- (970) 219-1703
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 33599 | CA | Primary |
Addresses
Primary practice location
6076 Bristol Pkwy Ste 105
Culver City, CA 90230-6600
Mailing address
6076 Bristol Pkwy Ste 105
Culver City, CA 90230-6600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33599 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1558096958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6076 BRISTOL PKWY STE 105",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6076 BRISTOL PKWY STE 105",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306600",
"telephone_number": "970-219-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUCH",
"first_name": "MAGGIE",
"credential": "MA-CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "33599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.