Active NPI
Gregory Sewell, M.S. CCC-SLP
- Speech-Language Pathologist
- Duarte, CA
National Provider Identifier
1598996845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 9462
- Practice address
- 531 Larkhall Ave
Duarte, CA 91010-1512 - Phone
- (626) 840-6139
- NPI assigned
- Aug 5, 2009
- Sex
- Male
- 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 9462 | CA | Primary |
Addresses
Primary practice location
531 Larkhall Ave
Duarte, CA 91010-1512
Mailing address
531 Larkhall Ave
Duarte, CA 91010-1512
Phone (626) 840-6139
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 9462 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1598996845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 LARKHALL AVE",
"city": "DUARTE",
"state": "CA",
"postal_code": "910101512",
"telephone_number": "626-840-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 LARKHALL AVE",
"city": "DUARTE",
"state": "CA",
"postal_code": "910101512",
"telephone_number": "626-840-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "GREGORY",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-05",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 9462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.