NPIMap

Organization Active NPI

Oceanside Therapy Group, Inc.

  • Speech-Language Pathologist
  • Oceanside, CA
National Provider Identifier
1013246248
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP17061 Issued in CA
Legal business name
OCEANSIDE THERAPY GROUP, INC.
Practice address
1930 S Coast Hwy
103
Oceanside, CA 92054-6455
Phone
(760) 529-4975
Fax
(760) 529-4761
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rebekah Louise Van Orden, M.S., CCC-SLPNPI 1427186378
Title
Owner/Speech-Language Pathologist
Phone
(760) 529-4975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP17061 CA Primary

Addresses

Primary practice location

1930 S Coast Hwy
103
Oceanside, CA 92054-6455

Mailing address

1930 S Coast Hwy
103
Oceanside, CA 92054-6455
Phone (760) 529-4975

Other identifiers 2

IdentifierTypeStateIssuer
1427186378OtherCAINDIVIDUAL NPI NUMBER
160476721MedicaidAR

National Provider Directory

National Provider Directory

Locations

1930 S Coast Hwy
Ste 103
Oceanside, CA 92054
Phone (760) 529-4975

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1013246248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S COAST HWY",
            "address_2": "103",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546455",
            "telephone_number": "760-529-4975",
            "fax_number": "760-529-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S COAST HWY",
            "address_2": "103",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546455",
            "telephone_number": "760-529-4975",
            "fax_number": "760-529-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE THERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "VAN ORDEN",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "760-529-4975",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1427186378",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160476721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.