Individual provider Active NPI

Angela Kelly Ross, SLP

  • Speech-Language Pathologist
  • Glendale, CA
National Provider Identifier
1891047882
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18603 Issued in CA
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

Updated by the provider on Oct 23, 2019

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 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

LicenseStateTypeSpecialty
18603CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
United Therapy Network Incorporated Speech-Language Pathologist CurrentSince Apr 26, 2015 Accepting new patients
United Therapy Network Incorporated Speech-Language Pathologist CurrentSince Apr 26, 2015 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.

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.

Verify at the official NPI Registry.