Active NPI
Alexa Dell
- Speech-Language Pathologist
- Santa Monica, CA
National Provider Identifier
1578136172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21651
- Practice address
- 2811 Wilshire Blvd Ste 690
Santa Monica, CA 90403-4816 - Phone
- (424) 226-6128
- NPI assigned
- Jul 21, 2021
- 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 | 21651 | CA | Primary |
Addresses
Primary practice location
2811 Wilshire Blvd Ste 690
Santa Monica, CA 90403-4816
Mailing address
176 Kingston Ave Apt E
Goleta, CA 93117-2322
Phone (805) 680-7734
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 |
|---|---|---|---|
| 21651 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1578136172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 KINGSTON AVE APT E",
"city": "GOLETA",
"state": "CA",
"postal_code": "931172322",
"telephone_number": "805-680-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD STE 690",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034816",
"telephone_number": "424-226-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELL",
"first_name": "ALEXA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "21651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.