Individual provider Active NPI

Sandy Shanin Lasarow, M.A., C.C.C.

  • Speech-Language Pathologist
  • Thousand Oaks, CA
National Provider Identifier
1952598989
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4305 Issued in CA
Practice address
231 Cedar Heights Dr
Thousand Oaks, CA 91360-1756
Phone
(805) 492-8899
Fax
(805) 492-6839
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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 4305 CA Primary

Addresses

Primary practice location

231 Cedar Heights Dr
Thousand Oaks, CA 91360-1756

Mailing address

231 Cedar Heights Dr
Thousand Oaks, CA 91360-1756
Phone (805) 492-8899

Other names 1

  • Sandra Shanin Lasarow Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4305CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1952598989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CEDAR HEIGHTS DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601756",
            "telephone_number": "805-492-8899",
            "fax_number": "805-492-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CEDAR HEIGHTS DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601756",
            "telephone_number": "805-492-8899",
            "fax_number": "805-492-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASAROW",
        "first_name": "SANDY",
        "middle_name": "SHANIN",
        "name_prefix": "Ms.",
        "credential": "M.A., C.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "4305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "LASAROW",
            "middle_name": "SHANIN",
            "credential": "M.A., C.C.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.