Individual provider Active NPI

Katrina L.S. Janairo, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Riverside, CA
National Provider Identifier
1043892201
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15508 Issued in CA
Practice address
6370 Magnolia Ave Ste 200
Riverside, CA 92506-2406
Phone
(562) 380-3923
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15508 CA Primary

Addresses

Primary practice location

6370 Magnolia Ave Ste 200
Riverside, CA 92506-2406

Mailing address

14637 Decoy LN
Fontana, CA 92336-0413
Phone (909) 263-3934

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL therapywest.org Health Information Exchange (HIE) Therapy West, Inc
CONNECT URL firstexpressionsinc.com

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15508CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy West, Inc Speech-Language Pathologist PastSince May 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1043892201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14637 DECOY LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360413",
            "telephone_number": "909-263-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 MAGNOLIA AVE STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062406",
            "telephone_number": "562-380-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANAIRO",
        "first_name": "KATRINA",
        "middle_name": "L.S.",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapywest.org",
            "affiliation": "Y",
            "affiliationName": "Therapy West, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11605 Washington Pl",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900665013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "firstexpressionsinc.com",
            "affiliation": "N",
            "address_1": "6370 Magnolia Ave Ste 200",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925062406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.