Soumya Moorti

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

RPE8422 Issued in CA

Practice address

27810 Pontevedra Dr
Rancho Palos Verdes, CA 90275-1234

Phone

(310) 541-8832

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1821428467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27810 PONTEVEDRA DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27810 PONTEVEDRA DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751234",
            "telephone_number": "310-541-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORTI",
        "first_name": "SOUMYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE8422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mission Prep Healthcare
• Marijane Miyake, OTR
• Morgan Mizell, MA, LMFT
• Bradley Andrew Mobeck, DDS
• Majid Molaie, M.D.
• Thomas Owen Morris III, MD
• Alexander Julien Moskhos, PHARMD
• Richard Muniz
• Jhordice Munoz, MSN, RN, NP
• Kerry Nadal, NTP

• Speech-Language Pathologist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.