Individual provider Active NPI

Anna Cecilia Golombek, MS, CCC-SLP

  • Speech-Language Pathologist
  • Woodland Hills, CA
National Provider Identifier
1649817008
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
29459 Issued in CA
Practice address
5050 Cerrillos Dr
Woodland Hills, CA 91364-3012
Phone
(213) 435-1689
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 29459 CA Primary

Addresses

Primary practice location

5050 Cerrillos Dr
Woodland Hills, CA 91364-3012

Mailing address

5050 Cerrillos Dr
Woodland Hills, CA 91364-3012
Phone (213) 435-1689

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
29459CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1649817008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CERRILLOS DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643012",
            "telephone_number": "213-435-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CERRILLOS DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643012",
            "telephone_number": "213-435-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOMBEK",
        "first_name": "ANNA",
        "middle_name": "CECILIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.