Active NPI
Samantha Lynn McComb, SLP
- Speech-Language Pathologist
- Mission Viejo, CA
National Provider Identifier
1104005289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP16487
- Practice address
- 23361 Madero
Suite 200
Mission Viejo, CA 92691-2715 - Phone
- (949) 581-8239
- Fax
- (949) 859-0849
- NPI assigned
- Oct 25, 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 | SP16487 | CA | Primary |
Addresses
Primary practice location
23361 Madero
Suite 200
Mission Viejo, CA 92691-2715
Mailing address
19081 Lindsay LN
Huntington Beach, CA 92646-2245
Phone (949) 599-0218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP16487 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital of Orange County | Current | Accepting new patients | |
| Pediatric Subspecialty Faculty, Inc. | Past | Accepting new patients | |
| Newport Language and Speech Centers | Speech-Language Pathologist | Past | Accepting new patients |
| Providence Speech and Hearing Center | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
Dept LA 21333
Pasadena, CA 91185
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHOC Children's Specialists
- Pediatrics Physician
- Orange, CA
- NPI 1275975104
-
- Speech-Language Pathologist
- Mission Viejo, CA
- NPI 1861567299
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
-
- Speech-Language Pathologist
- Fountain Valley, CA
- NPI 1083264196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1104005289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19081 LINDSAY LN",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926462245",
"telephone_number": "949-599-0218",
"fax_number": "949-859-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23361 MADERO",
"address_2": "SUITE 200",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912715",
"telephone_number": "949-581-8239",
"fax_number": "949-859-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMB",
"first_name": "SAMANTHA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP16487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.