Marissa Angelina Vaccher

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

6613 Issued in CA

Practice address

1480 S Harbor Blvd
Unit 14
La Habra, CA 90631

Phone

(562) 284-9632

NPI assigned

Aug 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1124794896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD",
            "address_2": "UNIT 14",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HARBOR BLVD",
            "address_2": "UNIT 14",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "562-284-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCHER",
        "first_name": "MARISSA",
        "middle_name": "ANGELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Trujillo
• Quyen Truong
• Thomas S Tzeng, MD
• Irene Wong Uota, OTR/L
• Daniel Uribe, MD
• Ashley Renee Valencia
• Valentina Redden DDS Inc
• Amanda Kay Van Smaalen
• Vanessa Vanda
• Eduardo Vasquez, D.D.S.

• Speech-Language Assistant in La Habra, CA
• Providers in La Habra, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.