Active NPI
Mary Hanna Tadros
- Speech-Language Pathologist
- Jurupa Valley, CA
National Provider Identifier
1073447645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 26587
- Practice address
- 5671 42ND St
Jurupa Valley, CA 92509-6679 - Phone
- (951) 360-4100
- NPI assigned
- Jun 10, 2026
- 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 | 26587 | CA | Primary |
Addresses
Primary practice location
5671 42ND St
Jurupa Valley, CA 92509-6679
Mailing address
13503 Pointer CT
Riverside, CA 92503-7327
Phone (951) 360-4100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1073447645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13503 POINTER CT",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925037327",
"telephone_number": "951-360-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 42ND ST",
"city": "JURUPA VALLEY",
"state": "CA",
"postal_code": "925096679",
"telephone_number": "951-360-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADROS",
"first_name": "MARY",
"middle_name": "HANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-10",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "26587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jurupa Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.