Active NPI
Raquel Yezmin De Casas
- Speech-Language Assistant
- Gardena, CA
National Provider Identifier
1831600840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 4555
- Practice address
- 1045 W Redondo Beach Blvd Ste 135
Gardena, CA 90247-4104 - Phone
- (562) 299-3292
- NPI assigned
- Oct 17, 2017
- 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 | 4555 | CA | Primary |
Addresses
Primary practice location
1045 W Redondo Beach Blvd Ste 135
Gardena, CA 90247-4104
Mailing address
PO Box 111
Paramount, CA 90723-0111
Phone (562) 299-3292
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4555 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1831600840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907230111",
"telephone_number": "562-299-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 W REDONDO BEACH BLVD STE 135",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474104",
"telephone_number": "562-299-3292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CASAS",
"first_name": "RAQUEL",
"middle_name": "YEZMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "4555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.