Active NPI
Cynthia J Rogers, M.S.
- Speech-Language Pathologist
- Santa Cruz, CA
National Provider Identifier
1790823680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP12577
- Practice address
- 550 Water St
Ste a
Santa Cruz, CA 95060-4126 - Phone
- (831) 476-4414
- Fax
- (831) 476-0264
- NPI assigned
- Feb 2, 2007
- 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 | SP12577 | CA | Primary |
Addresses
Primary practice location
550 Water St
Ste a
Santa Cruz, CA 95060-4126
Mailing address
550 Water St
Ste a
Santa Cruz, CA 95060-4126
Phone (831) 476-4414
Other practice location 1
330 La Cima St
Soquel, CA 95073-9711
Phone (831) 462-6230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP12577 | Other | CA | SPEECH LANGUAGE PATHOLOG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP12577 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Current | Accepting new patients |
Locations
550 Water St
Ste A
Santa Cruz, CA 95060
Phone (831) 425-0420
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
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.
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- Walnut Creek, CA
- NPI 1174253405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1790823680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 WATER ST",
"address_2": "STE A",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604126",
"telephone_number": "831-476-4414",
"fax_number": "831-476-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WATER ST",
"address_2": "STE A",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604126",
"telephone_number": "831-476-4414",
"fax_number": "831-476-0264"
}
],
"practiceLocations": [
{
"address_1": "330 La Cima St",
"address_purpose": "LOCATION",
"city": "Soquel",
"state": "CA",
"postal_code": "950739711",
"country_code": "US",
"telephone_number": "831-462-6230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "CYNTHIA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP12577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOG",
"identifier": "SP12577",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.