Active NPI
Ian Kent
- Speech-Language Pathologist
- Los Alamitos, CA
National Provider Identifier
1902237647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19280
- Practice address
- 10650 Reagan St Unit 745
Los Alamitos, CA 90720-8840 - Phone
- (562) 896-1190
- NPI assigned
- Dec 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 19280 | CA | Primary |
Addresses
Primary practice location
10650 Reagan St Unit 745
Los Alamitos, CA 90720-8840
Mailing address
10650 Reagan St Unit 745
Los Alamitos, CA 90720-8840
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1902237647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10650 REAGAN ST UNIT 745",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907208840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 REAGAN ST UNIT 745",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907208840",
"telephone_number": "562-896-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "IAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-05",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "19280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.