NPIMap

Organization Active NPI

First Expressions Speech-Language Pathology Services, Inc.

  • Speech-Language Pathologist
  • Riverside, CA
National Provider Identifier
1053945972
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FIRST EXPRESSIONS SPEECH-LANGUAGE PATHOLOGY SERVICES, INC.
Practice address
4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113
Phone
(619) 807-4336
NPI assigned
Feb 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Mr. Jason R. Bergancia, MA., CCC-SLPNPI 1285878132
Title
Speech-Language Pathologist
Phone
(619) 807-4336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113

Mailing address

27720 Jefferson Ave Ste 120
Temecula, CA 92590-2609
Phone (951) 587-6973

Other practice location 1

27720 Jefferson Ave Ste 120
Temecula, CA 92590-2609
Phone (951) 587-6973

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADMIN@FIRSTEXPRESSIONSINC.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423002669 CA Part B Supplier - Clinic/Group Practice 2466882931 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA; San Marcos, CA; Temecula, CA

National Provider Directory

National Provider Directory
Tax ID family
First Expressions Speech Language Pathol2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6370 Magnolia Ave
Ste 210
Riverside, CA 92506
Phone (760) 241-6044

27720 Jefferson Ave
Ste 120
Temecula, CA 92590
Phone (619) 807-4336

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1053945972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27720 JEFFERSON AVE STE 120",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902609",
            "telephone_number": "951-587-6973",
            "fax_number": "844-332-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4193 FLAT ROCK DR STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057113",
            "telephone_number": "619-807-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27720 Jefferson Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925902609",
            "country_code": "US",
            "telephone_number": "951-587-6973",
            "fax_number": "844-332-5907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST EXPRESSIONS SPEECH-LANGUAGE PATHOLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-29",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "BERGANCIA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "619-807-4336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADMIN@FIRSTEXPRESSIONSINC.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4193 Flat Rock Dr Ste 200",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925057113",
            "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 Mar 21, 2022; 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.

Verify at the official NPI Registry.