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CREOLE GREEN
NPI 1487379772
Specialist/Technologist - Speech-Language Assistant in Gardena, CA

Active since October 10, 2022
1045 W REDONDO BEACH BLVD STE 135, GARDENA, CA 90247(310) 553-2695 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creole Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREOLE GREEN (NPI 1487379772) is an individual speech-language assistant in Gardena, California, licensed in California (7514) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1487379772
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameCREOLE GREEN
Location Address1045 W REDONDO BEACH BLVD STE 135Gardena, CA 90247-4104
Mailing Address1045 W Redondo Beach Blvd Ste 135Gardena, CA 90247-4104 · (310) 553-2695
Phone(310) 553-2695
Sole ProprietorNo
Enumeration DateOctober 10, 2022
NPPES CertifiedOctober 8, 2022
✔ NPI 1487379772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in CA · 7514
1045 W REDONDO BEACH BLVD STE 135, Gardena, CA 90247
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LYNN DEBRAAL COTA/L
Occupational Therapy Assistant
1045 W REDONDO BEACH BLVD STE 135
GARDENA, CA 90247
Los Angeles County (310) 553-2695
MS. OLIVIA MYERS
Speech-Language Pathologist
1045 W REDONDO BEACH BLVD STE 135
GARDENA, CA 90247
Los Angeles County (310) 553-2695
BREANA ARMAS
Specialist/Technologist (Speech-Language Assistant)
1045 W REDONDO BEACH BLVD STE 135
GARDENA, CA 90247
Los Angeles County (310) 553-2695
RAQUEL YEZMIN DE CASAS
Specialist/Technologist (Speech-Language Assistant)
1045 W REDONDO BEACH BLVD STE 135
GARDENA, CA 90247
Los Angeles County (562) 299-3292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creole Green's NPI number?

The NPI number for Creole Green is 1487379772. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Creole Green located?

Creole Green practices at 1045 W Redondo Beach Blvd Ste 135, Gardena, CA 90247. The listed phone number is (310) 553-2695.

What is Creole Green's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Creole Green was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.