Individual provider Active NPI

Sarah Joy Lupo, SP

  • Speech-Language Pathologist
  • Long Beach, CA
National Provider Identifier
1558657429
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP18796 Issued in CA
Practice address
5359 E Greenmeadow Rd
Long Beach, CA 90808-1623
Phone
(562) 607-9940
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP18796 CA Primary

Addresses

Primary practice location

5359 E Greenmeadow Rd
Long Beach, CA 90808-1623

Mailing address

5359 E Greenmeadow Rd
Long Beach, CA 90808-1623
Phone (562) 607-9940

Other identifiers 1

IdentifierTypeStateIssuer
SP18796OtherCASPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY AND HEARING AID DISPENSER BOARD

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
SP18796CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1558657429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5359 E GREENMEADOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081623",
            "telephone_number": "562-607-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 E GREENMEADOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081623",
            "telephone_number": "562-607-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO",
        "first_name": "SARAH JOY",
        "name_prefix": "Miss",
        "credential": "SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP18796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY AND HEARING AID DISPENSER BOARD",
            "identifier": "SP18796",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.