Active NPI
Christa Maikisch
- Speech-Language Pathologist
- Long Beach, CA
National Provider Identifier
1689263055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16335
- Practice address
- 3294 E Spring St
Long Beach, CA 90806-2426 - Phone
- (562) 988-3570
- NPI assigned
- Jan 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16335 | CA | Primary |
Addresses
Primary practice location
3294 E Spring St
Long Beach, CA 90806-2426
Mailing address
12920 Central Ave Unit 401
Hawthorne, CA 90250-5888
Phone (310) 753-8072
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16335 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1689263055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12920 CENTRAL AVE UNIT 401",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505888",
"telephone_number": "310-753-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3294 E SPRING ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062426",
"telephone_number": "562-988-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIKISCH",
"first_name": "CHRISTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "16335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.