Active NPI
Tiffany Mai, CCC-SLP
- Speech-Language Pathologist
- Irvine, CA
National Provider Identifier
1043036940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP37908
- Practice address
- 17802 Sky Park Cir Ste 104
Irvine, CA 92614-6405 - Phone
- (949) 771-5881
- Fax
- (949) 271-4904
- NPI assigned
- Nov 25, 2024
- 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 Pathologist | 235Z00000X | SP37908 | CA | Primary |
Addresses
Primary practice location
17802 Sky Park Cir Ste 104
Irvine, CA 92614-6405
Mailing address
17802 Sky Park Cir Ste 104
Irvine, CA 92614-6405
Phone (949) 771-5881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP37908 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pediatric Therapy LLC | Current | Accepting new patients |
Locations
1524 Brookhollow Dr
Ste A100
Santa Ana, CA 92705
Phone (949) 771-5881
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Irvine, CA
- NPI 1104621846
-
- Hearing and Speech Clinic/Center
- Santa Ana, CA
- NPI 1083438956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1043036940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17802 SKY PARK CIR STE 104",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146405",
"telephone_number": "949-771-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17802 SKY PARK CIR STE 104",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146405",
"telephone_number": "949-771-5881",
"fax_number": "949-271-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "TIFFANY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP37908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.