Active NPI
Maria Cecille Tadiar Lizardo, SLPA
- Speech-Language Assistant
- Montebello, CA
National Provider Identifier
1033404942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SPA499
- Practice address
- 433 N 4TH St Ste 101a
Montebello, CA 90640-4313 - Phone
- (909) 576-1869
- NPI assigned
- Jun 20, 2011
- Last updated
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 | SPA499 | CA | Primary |
Addresses
Primary practice location
433 N 4TH St Ste 101a
Montebello, CA 90640-4313
Mailing address
433 N 4TH St Ste 101a
Montebello, CA 90640-4313
Phone (909) 576-1869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SPA499 | Other | CA | SLPAB |
Other names 1
- Maria Cecille Reyes Tadiar
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 |
|---|---|---|---|
| SPA499 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1033404942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 N 4TH ST STE 101A",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404313",
"telephone_number": "909-576-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 N 4TH ST STE 101A",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404313",
"telephone_number": "909-576-1869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZARDO",
"first_name": "MARIA CECILLE",
"middle_name": "TADIAR",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "SPA499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLPAB",
"identifier": "SPA499",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA CECILLE",
"last_name": "TADIAR",
"middle_name": "REYES",
"credential": "SLPA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.