Active NPI
Ellen M. Horvath, M.A., CCC-SP
- Speech-Language Pathologist
- Garden Grove, CA
National Provider Identifier
1063604528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1040
- Practice address
- 12777 Valley View St Ste 212
Garden Grove, CA 92845-2522 - Phone
- (714) 301-0048
- Fax
- (714) 963-7633
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1040 | CA | Primary |
Addresses
Primary practice location
12777 Valley View St Ste 212
Garden Grove, CA 92845-2522
Mailing address
12777 Valley View, Suite 212
Garden Grove, CA 92845
Phone (714) 301-0048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP1040 | Other | CA | GROUP INSURANCES |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Speech Pathology & Associates | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Garden Grove, CA
- NPI 1750572814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1063604528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12777 VALLEY VIEW, SUITE 212",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "92845",
"telephone_number": "714-301-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12777 VALLEY VIEW ST STE 212",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452522",
"telephone_number": "714-301-0048",
"fax_number": "714-963-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORVATH",
"first_name": "ELLEN",
"middle_name": "M.",
"credential": "M.A., CCC-SP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "1040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP INSURANCES",
"identifier": "SP1040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.