Active NPI
Jodi Carol Dembicer-Gross, SLP/RPE
- Speech-Language Pathologist
- Tarzana, CA
National Provider Identifier
1922433994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8307
- Practice address
- 19100 Ventura Blvd
Suite Q
Tarzana, CA 91356-3239 - Phone
- (818) 708-7704
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- 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 | 8307 | CA | Primary |
Addresses
Primary practice location
19100 Ventura Blvd
Suite Q
Tarzana, CA 91356-3239
Mailing address
19100 Ventura Blvd
Suite Q
Tarzana, CA 91356-3239
Phone (818) 708-7704
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8307 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1922433994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19100 VENTURA BLVD",
"address_2": "SUITE Q",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563239",
"telephone_number": "818-708-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19100 VENTURA BLVD",
"address_2": "SUITE Q",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563239",
"telephone_number": "818-708-7704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMBICER-GROSS",
"first_name": "JODI",
"middle_name": "CAROL",
"credential": "SLP/RPE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "8307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.