Organization Active NPI

Omw Speech Pathology Services

  • Speech-Language Pathologist
  • Moreno Valley, CA
National Provider Identifier
1073468146
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
OMW SPEECH PATHOLOGY SERVICES
Practice address
12981 Perris Blvd Ste 202B
Moreno Valley, CA 92553-4109
Phone
(909) 951-5951
Fax
(951) 717-8838
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Authorized official

Name
Mrs. Keisha Omwanghe, M.C.D.,CCC-SLPNPI 1639724776
Title
Speech-Language Pathologist
Phone
(909) 951-5951

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

12981 Perris Blvd Ste 202B
Moreno Valley, CA 92553-4109

Mailing address

10260 Prospector LN
Moreno Valley, CA 92557-4238
Phone (909) 951-5951

National Provider Directory

National Provider Directory

Locations

22550 Town Cir
Ste Tbd
Moreno Valley, CA 92553
Phone (909) 951-5951

12981 Perris Blvd
Ste 202B
Moreno Valley, CA 92553

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1073468146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 PROSPECTOR LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925574238",
            "telephone_number": "909-951-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12981 PERRIS BLVD STE 202B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534109",
            "telephone_number": "909-951-5951",
            "fax_number": "951-717-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMW SPEECH PATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A",
        "authorized_official_last_name": "OMWANGHE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "909-951-5951",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.C.D.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.