Individual provider Active NPI

Melinda Tudor

  • Speech-Language Assistant
  • Temecula, CA
National Provider Identifier
1104785476
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
266 Issued in CA
Practice address
27555 Ynez Rd Ste 310
Temecula, CA 92591-4678
Phone
(951) 717-8919
NPI assigned
Jan 21, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 266 CA Primary

Addresses

Primary practice location

27555 Ynez Rd Ste 310
Temecula, CA 92591-4678

Mailing address

22365 Barton Rd Ste 104
Grand Terrace, CA 92313-5037
Phone (909) 824-2899

Other practice location 1

25485 Medical Center Dr Ste 104
Murrieta, CA 92562-6927
Phone (909) 992-0943

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
266CAMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Five Oaks Speech Therapy Services PC PastSince Jan 29, 2019 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": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1104785476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22365 BARTON RD STE 104",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135037",
            "telephone_number": "909-824-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 310",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914678",
            "telephone_number": "951-717-8919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25485 Medical Center Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925626927",
            "country_code": "US",
            "telephone_number": "909-992-0943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUDOR",
        "first_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.