Individual provider Active NPI

Carmen Lopez Guevara

  • Speech-Language Assistant
  • Montclair, CA
National Provider Identifier
1649067448
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
9329 Issued in CA
Practice address
4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358
Phone
(909) 971-3092
NPI assigned
Apr 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 9329 CA Primary

Addresses

Primary practice location

4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358

Mailing address

4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358
Phone (909) 971-3092

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
9329CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Physical Therapy, Inc CurrentSince Apr 27, 2025 Accepting new patients
Rapha Rehabilities PastSince Apr 27, 2025 Accepting new patients

Locations

4959 Palo Verde St
Ste 109C
Montclair, CA 91763
Phone (909) 971-3092

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1649067448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 109C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632358",
            "telephone_number": "909-971-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 109C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632358",
            "telephone_number": "909-971-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ GUEVARA",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "9329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.