Organization Active NPI

Speechcom Children'S Speech Therapy Center, Inc.

  • Hearing and Speech Clinic/Center
  • Redondo Beach, CA
National Provider Identifier
1942761028
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SPEECHCOM CHILDREN'S SPEECH THERAPY CENTER, INC.
Practice address
2850 Artesia Blvd Ste 107
Redondo Beach, CA 90278-3412
Phone
(424) 275-9968
Fax
(424) 383-1285
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anna Weber, SLPNPI 1528504289
Title
President
Phone
(424) 275-9968

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)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

2850 Artesia Blvd Ste 107
Redondo Beach, CA 90278-3412

Mailing address

2850 Artesia Blvd Ste 107
Redondo Beach, CA 90278-3412
Phone (424) 275-9968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210129001729 CA Part B Supplier - Clinic/Group Practice 0840604054 Receives reassigned benefits from 1 practitioner
Practice locations: Redondo Beach, CA

National Provider Directory

National Provider Directory

Locations

2850 Artesia Blvd
Ste 107
Redondo Beach, CA 90278
Phone (424) 275-9968

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1942761028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD STE 107",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783412",
            "telephone_number": "424-275-9968",
            "fax_number": "424-383-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD STE 107",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783412",
            "telephone_number": "424-275-9968",
            "fax_number": "424-383-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECHCOM CHILDREN'S SPEECH THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-275-9968",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.