Individual provider Active NPI

Vanessa Arai Aguilera

  • Speech-Language Pathologist
  • Marina del Rey, CA
National Provider Identifier
1831935014
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
37421 Issued in CA
Practice address
13914 Bora Bora Way Apt 108
Marina del Rey, CA 90292-6836
Phone
(818) 825-3984
NPI assigned
Jul 8, 2024
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 37421 CA Primary

Addresses

Primary practice location

13914 Bora Bora Way Apt 108
Marina del Rey, CA 90292-6836

Mailing address

13914 Bora Bora Way Apt 108
Marina del Rey, CA 90292-6836
Phone (818) 825-3984

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1831935014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 BORA BORA WAY APT 108",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926836",
            "telephone_number": "818-825-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13914 BORA BORA WAY APT 108",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926836",
            "telephone_number": "818-825-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILERA",
        "first_name": "VANESSA",
        "middle_name": "ARAI",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "37421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.