Individual provider Active NPI

Norma Alicia Lopez-Rivera, MS

  • Speech-Language Pathologist
  • Covina, CA
National Provider Identifier
1689818833
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15105 Issued in CA
Practice address
203 E Badillo St
Covina, CA 91723-2116
Phone
(626) 732-1111
Fax
(626) 732-1112
NPI assigned
Apr 30, 2009
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 15105 CA Primary

Addresses

Primary practice location

203 E Badillo St
Covina, CA 91723-2116

Mailing address

203 E Badillo St
Covina, CA 91723-2116
Phone (626) 732-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210326001390 CA Practitioner - Qualified Speech Language Pathologist 7618384207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

203 E Badillo St
Covina, CA 91723-2116
Phone (626) 732-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15105CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Sueno Speech Therapy, Inc. Speech-Language Pathologist CurrentSince Mar 30, 2007 Accepting new patients

Locations

292 E Foothill Blvd
Ste A
Arcadia, CA 91006
Phone (626) 358-8488

500 E Olive Ave
Ste 320
Burbank, CA 91501
Phone (818) 239-5646

114 N 2nd Ave
Covina, CA 91723
Phone (626) 732-1111

203 E Badillo St
Covina, CA 91723
Phone (626) 732-1111

1936 Huntington Dr
Ste D
South Pasadena, CA 91030
Phone (626) 460-6320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1689818833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232116",
            "telephone_number": "626-732-1111",
            "fax_number": "626-732-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232116",
            "telephone_number": "626-732-1111",
            "fax_number": "626-732-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-RIVERA",
        "first_name": "NORMA",
        "middle_name": "ALICIA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.

Verify at the official NPI Registry.