Individual provider Active NPI

Julie Kastigar

  • Speech-Language Pathologist
  • Long Beach, CA
National Provider Identifier
1962724294
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14068 Issued in CA
Practice address
4720 E 2ND St Ste 1
Long Beach, CA 90803-5311
Phone
(562) 439-6244
NPI assigned
Mar 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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 14068 CA Primary

Addresses

Primary practice location

4720 E 2ND St Ste 1
Long Beach, CA 90803-5311

Mailing address

610 N Guadalupe Ave Unit 4
Redondo Beach, CA 90277-2975
Phone (310) 766-4656

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

LicenseStateTypeSpecialty
14068CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Haddad Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1962724294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N GUADALUPE AVE UNIT 4",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772975",
            "telephone_number": "310-766-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 E 2ND ST STE 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035311",
            "telephone_number": "562-439-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTIGAR",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.