MRS. NELLY TERESA ANTICH (NPI# 1124171020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124171020 |
| Entity Type | Individual |
| Full Name | MRS. NELLY TERESA ANTICH |
| Other Name | NELLY CANAR |
| Practice Address |
1401 S Grand Ave Los Angeles CA 90015-3010 |
| Mailing Address |
2307 Valley Dr Hermosa Beach CA 90254-2650 |
| Practice Telephone | 2137425568 |
| Mailing Telephone | 3103767735 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5790 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
1401 S GRAND AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872662 | California Hospital Radiology Medical Group PC | Specialist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2005-06-23 |
| 1598364804 | Katherine Ruiz Rossi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-10-19 |
| 1548883911 | Giovani Valentin Cruz Cruz | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-20 |
| 1134742604 | Layla Nina Farrahi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1649893108 | Juliana Jones | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1578186037 | Elizabeth Lisa Lee | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1104455625 | Nyree Minatsaghanian | Registered Nurse | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-04-06 |
| 1639714561 | Katherine H Park | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1215572110 | Brittany Richardson | Social Worker | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1356985311 | Ran Chu | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183626 | Dina Kamionski | Speech-Language Pathologist | 10592 Wilkins Ave, Los Angeles, CA 90024-6033 | 2020-10-29 |
| 1780295998 | Teadora Taddeo | Speech-Language Pathologist | 4909 Baltimore St, Los Angeles, CA 90042-2214 | 2020-08-11 |
| 1386254985 | Christina Foucault Crowe | Speech-Language Pathologist | 823 Teakwood Rd, Los Angeles, CA 90049-1329 | 2020-08-07 |
| 1811515273 | Cathleen Wynne | Speech-Language Pathologist | 4310 Finley Ave Apt 6, Los Angeles, CA 90027-2847 | 2020-07-10 |
| 1447878517 | Christina Lee Cannon | Speech-Language Pathologist | 101 S Sycamore Ave Apt 2, Los Angeles, CA 90036-2984 | 2020-07-06 |
| 1811510456 | Debra Devorah Smilow | Speech-Language Pathologist | 222 S Mccadden Pl, Los Angeles, CA 90004-1054 | 2020-05-18 |
| 1811517220 | Neil Gordon Murray | Speech-Language Pathologist | 3480 Barham Blvd Apt 111, Los Angeles, CA 90068-1458 | 2020-04-26 |
| 1306465976 | Jill Davidson | Speech-Language Pathologist | 12516 Sanford St, Los Angeles, CA 90066-6935 | 2020-04-13 |
| 1356960520 | Roni Tunick | Speech-Language Pathologist | 1432 Camden Ave Apt 104, Los Angeles, CA 90025-3471 | 2020-04-08 |
| 1235762956 | Elizabeth Joy Gordon | Speech-Language Pathologist | 154 S Mansfield Ave, Los Angeles, CA 90036-3019 | 2020-02-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.