Active NPI
Crystal Doregios Cuadro
- Speech-Language Assistant
- Torrance, CA
National Provider Identifier
1992152870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SPA 3792
- Practice address
- 3521 Lomita Blvd
Torrance, CA 90505-5039 - Phone
- (310) 856-8528
- Fax
- (310) 856-8532
- NPI assigned
- May 19, 2016
- 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 Assistant | 2355S0801X | SPA 3792 | CA | Primary |
Addresses
Primary practice location
3521 Lomita Blvd
Torrance, CA 90505-5039
Mailing address
3521 Lomita Blvd
Torrance, CA 90505-5039
Phone (310) 856-8528
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 |
|---|---|---|---|
| SPA 3792 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1992152870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3521 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055039",
"telephone_number": "310-856-8528",
"fax_number": "310-856-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055039",
"telephone_number": "310-856-8528",
"fax_number": "310-856-8532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUADRO",
"first_name": "CRYSTAL",
"middle_name": "DOREGIOS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "SPA 3792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.