Active NPI
Candice Evins
- Speech-Language Pathologist
- Artesia, CA
National Provider Identifier
1720590201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12172
- Practice address
- 11900 Artesia Blvd
Artesia, CA 90701-4039 - Phone
- (562) 865-0271
- NPI assigned
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 12172 | CA | Primary |
Addresses
Primary practice location
11900 Artesia Blvd
Artesia, CA 90701-4039
Mailing address
11900 Artesia Blvd
Artesia, CA 90701-4039
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12172 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1720590201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 ARTESIA BLVD",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907014039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 ARTESIA BLVD",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907014039",
"telephone_number": "562-865-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVINS",
"first_name": "CANDICE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "12172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Artesia, CA
- Eleven Optical Inc (eleven optical)
- Elite Wound Care Pro
- Karina Estrada, CCC-SLP
- Eugene Humphries, D.D.S., M.S.
- Michael Ray Eugenio, PT
- Eyecare Medical Corporation (Lasik Eye Center Medical Corporation)
- Family Wellness Center, Inc.
- Fatima Home Care Services, Inc.
- Stephanie Fell, MS, LMFT
- Felipe Felix Roldan Fernandez, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.