Individual provider Active NPI

Belinda Louise Changizian, CCC-SLP

  • Speech-Language Pathologist
  • Norco, CA
National Provider Identifier
1104454503
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP10574 Issued in CA
Practice address
4211B Valley View Ave
Norco, CA 92860-3502
Phone
(951) 547-5760
Fax
(951) 893-5135
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP10574 CA Primary

Addresses

Primary practice location

4211B Valley View Ave
Norco, CA 92860-3502

Mailing address

PO Box 6604
Norco, CA 92860-8053
Phone (951) 340-0431

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bchangizian@leapspediatric.org

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

LicenseStateTypeSpecialty
SP10574CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leaps and Bounds Pediatric Physical Therapy Inc Speech-Language Pathologist PastSince Apr 5, 2020 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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1104454503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6604",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928608053",
            "telephone_number": "951-340-0431",
            "fax_number": "951-896-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211B VALLEY VIEW AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603502",
            "telephone_number": "951-547-5760",
            "fax_number": "951-893-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGIZIAN",
        "first_name": "BELINDA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP10574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bchangizian@leapspediatric.org",
            "affiliation": "N",
            "address_1": "4211B Valley View Ave",
            "city": "Norco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928603502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.