Active NPI
Alexis Lane
- Speech-Language Pathologist
- Yorba Linda, CA
National Provider Identifier
1083341788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP35774
- Practice address
- 17683 Bastanchury Rd
Yorba Linda, CA 92886-1901 - Phone
- (714) 833-9650
- NPI assigned
- Aug 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | SP35774 | CA | Primary |
Addresses
Primary practice location
17683 Bastanchury Rd
Yorba Linda, CA 92886-1901
Mailing address
5815 E la Palma Ave SPC 127
Anaheim, CA 92807-2236
Phone (714) 833-9650
Other practice location 1
220 Technology Dr Ste 220
Irvine, CA 92618-2424
Phone (949) 516-1266
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 |
|---|---|---|---|
| SP35774 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Kids Corporation | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1083341788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5815 E LA PALMA AVE SPC 127",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072236",
"telephone_number": "714-833-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17683 BASTANCHURY RD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928861901",
"telephone_number": "714-833-9650"
}
],
"practiceLocations": [
{
"address_1": "220 Technology Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926182424",
"country_code": "US",
"telephone_number": "949-516-1266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANE",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP35774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.