Carol Jo Graiwer, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 12664 Issued in CA

Practice address

5535 Balboa Blvd
Ste 218
Encino, CA 91316-1516

Phone

(818) 974-1722

Fax

(818) 995-5330

NPI assigned

Mar 18, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Vital Speech and Swallow

  • Speech-Language Pathologist
  • Tarzana, CA
  • NPI 1013245687
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1871734939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 FOND DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364203",
            "telephone_number": "818-974-1722",
            "fax_number": "818-995-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD",
            "address_2": "STE 218",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161516",
            "telephone_number": "818-974-1722",
            "fax_number": "818-995-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAIWER",
        "first_name": "CAROL",
        "middle_name": "JO",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 12664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene M Graeser, PH.D.
• George Burket Graf, L.AC.
• Vanessa Graf, PSYD, LMFT, PC
• Graham a. Purcell, M.D., Inc.
• Vicki Graham-Costain, PH.D.
• Christina Isabel Granados, BCBA
• Joel Granados
• Melany Granados
• Grandview Villas Recovery Center LLC
• Lauren Grant

• Speech-Language Pathologist in Encino, CA
• Providers in Encino, 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 May 20, 2015; 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.