Individual provider Active NPI

Isabelle Rose Nastaskin

  • Speech-Language Pathologist
  • Redondo Beach, CA
National Provider Identifier
1750939419
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30210 Issued in CA
Practice address
1708 Esplanade Apt 1
Redondo Beach, CA 90277-5325
Phone
(310) 683-9447
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30210 CA Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1708 Esplanade Apt 1
Redondo Beach, CA 90277-5325

Mailing address

1708 Esplanade Apt 1
Redondo Beach, CA 90277-5325
Phone (310) 683-9447

Other practice location 1

1815 W 213th St Ste 100
Torrance, CA 90501-2852
Phone (310) 328-0276 ext. 325

Other practice location 2

11840 S La Cienega Blvd
Hawthorne, CA 90250-3459
Phone (424) 269-3400

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

LicenseStateTypeSpecialty
30210CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cali Kids Speech Therapy Inc. Speech-Language Pathologist CurrentSince Jul 1, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1750939419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 ESPLANADE APT 1",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775325",
            "telephone_number": "310-683-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 ESPLANADE APT 1",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775325",
            "telephone_number": "310-683-9447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 W 213th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905012852",
            "country_code": "US",
            "telephone_number": "310-328-0276 x325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11840 S La Cienega Blvd",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902503459",
            "country_code": "US",
            "telephone_number": "424-269-3400",
            "fax_number": "310-882-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASTASKIN",
        "first_name": "ISABELLE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30210",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.