Active NPI
Idalia Espinosa
- Speech-Language Assistant
- Moreno Valley, CA
National Provider Identifier
1013304864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 3168
- Practice address
- 10441 Watercress Cir
Moreno Valley, CA 92557-3054 - Phone
- (714) 322-4271
- NPI assigned
- Apr 20, 2015
- 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 | 3168 | CA | Primary |
Addresses
Primary practice location
10441 Watercress Cir
Moreno Valley, CA 92557-3054
Mailing address
10441 Watercress Cir
Moreno Valley, CA 92557-3054
Phone (714) 322-4271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2355S0801X | Other | CA | SLPA |
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 |
|---|---|---|---|
| 3168 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429488000000",
"number": "1013304864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10441 WATERCRESS CIR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925573054",
"telephone_number": "714-322-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10441 WATERCRESS CIR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925573054",
"telephone_number": "714-322-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "IDALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2015-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "3168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLPA",
"identifier": "2355S0801X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.