Individual provider Active NPI

Emilia Vitti

  • Speech-Language Pathologist
  • Redondo Beach, CA
National Provider Identifier
1871232512
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
32702 Issued in CA
Practice address
2404 Burritt Ave
Redondo Beach, CA 90278-1502
Phone
(310) 748-8760
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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 32702 CA Primary

Addresses

Primary practice location

2404 Burritt Ave
Redondo Beach, CA 90278-1502

Mailing address

2404 Burritt Ave
Redondo Beach, CA 90278-1502
Phone (310) 748-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404002263 CA Practitioner - Qualified Speech Language Pathologist 6406294834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Life Physical Therapy Services PCGroup PAC ID 7214207125, 94 clinicians

Practice addresses (Care Compare)

801 S Pacific Coast Hwy
Redondo Beach, CA 90277-4764
Phone (424) 317-6869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32702CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy Services, PC Speech-Language Pathologist CurrentSince Feb 20, 2024 Accepting new patients
New Life Healthcare, LLC PastSince Feb 20, 2024 Accepting new patients

Locations

801 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 317-6869

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1871232512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 BURRITT AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781502",
            "telephone_number": "310-748-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 BURRITT AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781502",
            "telephone_number": "310-748-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTI",
        "first_name": "EMILIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.