Active NPI
Katherine Kovacic
- Speech-Language Pathologist
- Anaheim, CA
National Provider Identifier
1639419799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 20919
- Practice address
- 160 S Old Springs Rd
Suite 100
Anaheim, CA 92808-1260 - Phone
- (714) 282-8852
- NPI assigned
- Feb 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 022614 | NY | |
| Speech-Language Pathologist | 235Z00000X | 20919 | CA | Primary |
Addresses
Primary practice location
160 S Old Springs Rd
Suite 100
Anaheim, CA 92808-1260
Mailing address
7521 Edinger Ave Unit 3518
Huntington Beach, CA 92647
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1639419799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7521 EDINGER AVE UNIT 3518",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S OLD SPRINGS RD",
"address_2": "SUITE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081260",
"telephone_number": "714-282-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACIC",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "022614",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "20919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.