Active NPI
Little Rose Speech Therapy, Inc.
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1922605898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- LITTLE ROSE SPEECH THERAPY, INC.
- Practice address
- 11990 Stoney Peak Dr Apt 1106
San Diego, CA 92128-6481 - Phone
- (619) 800-2517
- NPI assigned
- Oct 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Ridoloso, M.S., CCC-SLP
- Title
- Owner
- Phone
- (209) 406-7619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
11990 Stoney Peak Dr Apt 1106
San Diego, CA 92128-6481
Mailing address
11990 Stoney Peak Dr Apt 1106
San Diego, CA 92128-6481
Phone (619) 800-2517
Other names 1
- Little Rose Speech Therapy, Inc.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- San Diego, CA
- NPI 1710478052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601856000000",
"number": "1922605898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11990 STONEY PEAK DR APT 1106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921286481",
"telephone_number": "619-800-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11990 STONEY PEAK DR APT 1106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921286481",
"telephone_number": "619-800-2517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE ROSE SPEECH THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A",
"authorized_official_last_name": "RIDOLOSO",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-406-7619",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Little Rose Speech Therapy, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.