Active NPI
Martha J Rivas-Mendoza
- Speech-Language Assistant
- Sherman Oaks, CA
National Provider Identifier
1821504911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 874
- Practice address
- 3130 Burbank Blvd
Sherman Oaks, CA 91401 - Phone
- (818) 781-0360
- NPI assigned
- Dec 27, 2017
- Last updated
- Jun 16, 2018
- 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 Assistant | 2355S0801X | 874 | CA | Primary |
Addresses
Primary practice location
3130 Burbank Blvd
Sherman Oaks, CA 91401
Mailing address
6071 La Prada St Apt 8
Los Angeles, CA 90042-2063
Phone (818) 781-0360
Other practice location 1
16500 Ventura Blvd Ste 414
Encino, CA 91436-5050
Phone (818) 788-1003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 874 | Other | CA | SPEECH PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1821504911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6071 LA PRADA ST APT 8",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900422063",
"telephone_number": "818-781-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 BURBANK BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91401",
"telephone_number": "818-781-0360"
}
],
"practiceLocations": [
{
"address_1": "16500 Ventura Blvd Ste 414",
"address_purpose": "LOCATION",
"city": "Encino",
"state": "CA",
"postal_code": "914365050",
"country_code": "US",
"telephone_number": "818-788-1003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVAS-MENDOZA",
"first_name": "MARTHA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-27",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD",
"identifier": "874",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.