Active NPI
Bella Panchal, AUD M.SC.CCC-A/SLP
- Speech-Language Pathologist
- Anaheim, CA
National Provider Identifier
1043465438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP8464
- Practice address
- 1197 N Arbor St
Anaheim, CA 92801-2021 - Phone
- (714) 956-5575
- NPI assigned
- Nov 26, 2008
- Last updated
- Mar 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU1424 | CA | |
| Speech-Language Pathologist | 235Z00000X | SLP8464 | CA | Primary |
Addresses
Primary practice location
1197 N Arbor St
Anaheim, CA 92801-2021
Mailing address
PO Box 3774
Fullerton, CA 92834-3774
Phone (714) 956-5575
Other practice location 1
1301 Providence Avenue
Orange, CA 92868-3892
Phone (714) 923-1521 ext. 234
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP8464 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B.S.P. Professional Services, Inc. | Audiologist | Past | Accepting new patients |
| Sonus-USA, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Anaheim, CA
- NPI 1346740941
Audiologist
-
- Audiologist-Hearing Aid Fitter
- Eugene, OR
- NPI 1780765099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1043465438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3774",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928343774",
"telephone_number": "714-956-5575",
"fax_number": "714-956-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1197 N ARBOR ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012021",
"telephone_number": "714-956-5575"
}
],
"practiceLocations": [
{
"address_1": "1301 Providence Avenue",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683892",
"country_code": "US",
"telephone_number": "714-923-1521 x234",
"fax_number": "714-639-2593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANCHAL",
"first_name": "BELLA",
"credential": "AUD M.SC.CCC-A/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU1424",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SLP8464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.