Active NPI
Sofia Abril Prentiss
- Speech-Language Pathologist
- San Clemente, CA
National Provider Identifier
1073108205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21812
- Practice address
- 1031 Avenida Pico Ste 104&201
San Clemente, CA 92673-6352 - Phone
- (949) 388-8788
- NPI assigned
- Mar 9, 2021
- 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 | 21812 | CA | Primary |
Addresses
Primary practice location
1031 Avenida Pico Ste 104&201
San Clemente, CA 92673-6352
Mailing address
315 Centennial Way
Tustin, CA 92780-3714
Phone (949) 250-1101
Other names 1
- Sofia Taylor Abril
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21812 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advancement for Behavioral & Educational Development & Intervention | Behavior Analyst | Current | Accepting new patients |
| Wee Thrive Pediatric Therapy Group | Past | Accepting new patients |
Locations
315 Centennial Way
Tustin, CA 92780
Phone (949) 250-1101
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.
-
- Behavior Analyst
- Tustin, CA
- NPI 1144598467
-
- Multi-Specialty Clinic/Center
- San Clemente, CA
- NPI 1558815456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1073108205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 CENTENNIAL WAY",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803714",
"telephone_number": "949-250-1101",
"fax_number": "949-250-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 AVENIDA PICO STE 104&201",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736352",
"telephone_number": "949-388-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENTISS",
"first_name": "SOFIA",
"middle_name": "ABRIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-09",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "21812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOFIA",
"last_name": "ABRIL",
"middle_name": "TAYLOR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Clemente, CA
- Sara Pourmand
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- Crystal Danielle Prancevic, LMFT
- Precision Metabolix a Medical Corporation
- Premier Health Care Chiropractic & Wellness
- Prime Mading Anesthesia, Inc.
- Anna Prochowska-Shkarovetskyy, RDN
- Project Renew
- Theresa Korbonski Pruitt, RPH
- Psychheurology Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.