Active NPI
Angela Kelly Ross, SLP
- Speech-Language Pathologist
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18603
- Practice address
- 500 N Central Ave Ste 850
Glendale, CA 91203-3354 - Phone
- (818) 549-9764
- Fax
- (818) 549-9767
- NPI assigned
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- No
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 Pathologist | 235Z00000X | 18603 | CA | Primary |
Addresses
Primary practice location
500 N Central Ave Ste 850
Glendale, CA 91203-3354
Mailing address
1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467
Phone (909) 890-9030
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18603 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Therapy Network Incorporated | Speech-Language Pathologist | Current | Accepting new patients |
| United Therapy Network Incorporated | Speech-Language Pathologist | Current | Accepting new patients |
| United Therapy Network Incorporated | Speech-Language Pathologist | Current | Accepting new patients |
Locations
500 N Central Ave
Ste 850
Glendale, CA 91203
Phone (818) 549-9764
500 N Central Ave
Ste 440
Glendale, CA 91203
Phone (818) 558-3929
1902 Royalty Dr
Ste 220
Pomona, CA 91767
Phone (909) 570-3108
8599 Haven Ave
Ste 207
Rch Cucamonga, CA 91730
Phone (909) 948-0411
1955 Hunts Ln
Ste 200
San Bernardino, CA 92408
Phone (909) 335-1164
1845 Business Center Dr
Ste 127
Sn Bernrdno, CA 92408
Phone (909) 890-9030
Organizations & group practices 3
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.
-
- Physical Therapist
- Riverside, CA
- NPI 1629693619
Speech-Language Pathologist
-
- Physical Therapist
- Corona, CA
- NPI 1669691051
Speech-Language Pathologist
-
- Physical Therapist
- West Covina, CA
- NPI 1902025307
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1891047882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 BUSINESS CENTER DR",
"address_2": "SUITE 127",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083467",
"telephone_number": "909-890-9030",
"fax_number": "909-890-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N CENTRAL AVE STE 850",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033354",
"telephone_number": "818-549-9764",
"fax_number": "818-549-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ANGELA",
"middle_name": "KELLY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-15",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "18603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.