Jodi Datema, M.S., CCC-SLP
Speech-Language Pathologist, in Loma Linda, CA. Individual provider (NPI-1).
NPI number1922520709
StatusActive
Last updated in NPPESJul 12, 2017
Details
- NPI
- 1922520709
- Entity type
- Individual (NPI-1)
- Name
- Jodi Datema
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2017
- Last updated
- Jul 12, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 20825 | CA | Yes |
Practice location
11370 Anderson StLoma Linda, CA 92354-3450
Phone 909-558-2822
Mailing address
11370 Anderson StLoma Linda, CA 92354-3450
Phone 909-558-2126 · Fax 909-558-2401
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Speech-Language Pathologist providers in Loma Linda · All 5,377 providers in Loma Linda
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