Nitza Elke Fregosi

Key facts

NPI

1760798482

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

Practice address

1515 Sampson PL Apt 1
Los Angeles, CA 90063-1138

Phone

(562) 413-9100

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 19, 2010.

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1760798482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAMPSON PL APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900631138",
            "telephone_number": "562-413-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SAMPSON PL APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900631138",
            "telephone_number": "562-413-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREGOSI",
        "first_name": "NITZA",
        "middle_name": "ELKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Los Angeles, CA · Speech-Language Pathologist in California