Active NPI
Elizabeth Zyzo
- Speech-Language Pathologist
- Montebello, CA
National Provider Identifier
1659805356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 29901
- Practice address
- 1035 W Beverly Blvd
Montebello, CA 90640-4138 - Phone
- (323) 724-1315
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 005313 | CT | |
| Speech-Language Pathologist | 235Z00000X | 29901 | CA | Primary |
Addresses
Primary practice location
1035 W Beverly Blvd
Montebello, CA 90640-4138
Mailing address
1035 W Beverly Blvd
Montebello, CA 90640-4138
Phone (323) 724-1315
Other practice location 1
728 Post Rd E
Westport, CT 06880-5200
Phone (203) 341-0488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
425 2ND St
Suite 405
San Francisco, CA 94107-1420
489 Sanchez St
San Francisco, CA 94114-2056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005313 | CT | MD | Mental Health Counselor |
| 29901 | CA | MD | Pharmacist |
| 5313 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hona Medical Group of California PC | Speech-Language Pathologist | Current | Accepting new patients |
| Hartford Healthcare Senior Services, Inc. | Past | Accepting new patients |
Locations
95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090
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.
-
- Speech-Language Pathologist
- San Francisco, CA
- NPI 1841036241
-
- Skilled Nursing Facility
- Southington, CT
- NPI 1265431647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1659805356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404138",
"telephone_number": "323-724-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404138",
"telephone_number": "323-724-1315"
}
],
"practiceLocations": [
{
"address_1": "728 Post Rd E",
"address_purpose": "LOCATION",
"city": "Westport",
"state": "CT",
"postal_code": "068805200",
"country_code": "US",
"telephone_number": "203-341-0488",
"fax_number": "203-227-8809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZYZO",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "005313",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "29901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.