Amy Marissa Tovar, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

27984 Issued in CA

Practice address

5703 Oberlin Dr Ste 202
San Diego, CA 92121-1743

Phone

(760) 205-1011

NPI assigned

Jul 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Marissa Tellez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Accel Therapies Inc.

  • Behavior Analyst
  • Newport Beach, CA
  • NPI 1033474697

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1659050334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 MANZANITA ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 OBERLIN DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211743",
            "telephone_number": "760-205-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "AMY",
        "middle_name": "MARISSA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TELLEZ",
            "middle_name": "MARISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lourdes Toussaint
• Yonina Tova, M.D.
• Eva Tovar Hirashima, M.D., M.P.H
• Leidy J Tovar Padua, M.D
• Alexandre Javier Tovar
• Christina Marie Tovar, NP
• Elsie Ruby Tovar
• Jason Paul Tovar, M.D.
• Valerie Tovar, MSW TRAINEE
• Corina Jeanne Towle

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.