Active NPI
Cinthia M. Lopez-Gostich
- Speech-Language Pathologist
- El Centro, CA
National Provider Identifier
1558677179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 13118
- Practice address
- 2366 18TH St
El Centro, CA 92243-6176 - Phone
- (760) 352-1628
- Fax
- (760) 352-1628
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | SP 13118 | CA | Primary |
Addresses
Primary practice location
2366 18TH St
El Centro, CA 92243-6176
Mailing address
PO Box 2975
El Centro, CA 92244-2975
Phone (760) 352-1628
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12075049 | Other | CA | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
| SP 13118 | Other | CA | STATE OF CALIFORNIA |
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 |
|---|---|---|---|
| SP 13118 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Speech and Language Rehabilitation, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- El Centro, CA
- NPI 1548576168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1558677179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2975",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922442975",
"telephone_number": "760-352-1628",
"fax_number": "760-352-1628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2366 18TH ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922436176",
"telephone_number": "760-352-1628",
"fax_number": "760-352-1628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ-GOSTICH",
"first_name": "CINTHIA",
"middle_name": "M.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 13118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "12075049",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA",
"identifier": "SP 13118",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.