Kristen Carol Melgoza

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA 2758 Issued in CA

Practice address

11870 Pierce St Ste 150
Riverside, CA 92505-6600

Phone

(951) 808-5850

NPI assigned

Jul 22, 2014

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

State licenses

Practice roles

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.

• Lucid Speech & Language

  • Speech-Language Pathologist
  • Murrieta, CA
  • NPI 1336240324
  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1154738128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 PIERCE ST STE 150",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925056600",
            "telephone_number": "951-808-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 PIERCE ST STE 150",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925056600",
            "telephone_number": "951-808-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGOZA",
        "first_name": "KRISTEN",
        "middle_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA 2758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Ann Melendez, PSY.D.
• Maira Melendez, FNP-C
• Karen Melendrez
• Lourdes Maria Melendrez
• Jose Luis Melgoza, DDS
• Melisa a Erick MD Inc
• Melisa a. Erick, M.D., Inc.
• Sherry Lynn Mellott, AMFT
• Myrian Elizabeth Melnechuk, OT
• Jonnathan Samuel Melton

• Speech-Language Assistant in Riverside, CA
• Providers in Riverside, 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 Jul 22, 2014; 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.