Andrea Jose Macapagal, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5102 Issued in CA

Practice address

12304 Santa Monica Blvd Ste 364
Los Angeles, CA 90025-1542

Phone

(303) 710-5633

Fax

(310) 207-4401

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shannon Stevens Speech Pathology LLC

  dba Santa Monica Speaks

  • Speech-Language Pathologist
  • Los Angeles, CA
  • NPI 1326813767
  NPD

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1750083770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 364",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251542",
            "telephone_number": "303-710-5633",
            "fax_number": "310-207-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 364",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251542",
            "telephone_number": "303-710-5633",
            "fax_number": "310-207-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAPAGAL",
        "first_name": "ANDREA",
        "middle_name": "JOSE",
        "name_prefix": "Ms.",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "5102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agilio Macabasco, PA-C
• Benjamin Macadangdang
• Joseph Macalalad, PA-C
• Diwata Macalino, MS, RDN
• Samantha Reyes Macam
• Larry K Macapagal, OD
• Reginald Manansala Macapagal, D.O., M.P.H.
• Macarthur Adhc Inc (City of Refuge Adhc)
• Macarthur Emergency Physicians
• Macarthur Park Medical Clinic

• Speech-Language Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.