Individual provider Active NPI

Sirena Lisette Magallon

  • Speech-Language Pathologist
  • Chino Hills, CA
National Provider Identifier
1194067405
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
26713 Issued in CA
Practice address
14772 Pipeline Ave Ste a
Chino Hills, CA 91709-6027
Phone
(909) 606-0886
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 1611 CA
Speech-Language Pathologist 235Z00000X 26713 CA Primary

Addresses

Primary practice location

14772 Pipeline Ave Ste a
Chino Hills, CA 91709-6027

Mailing address

14772 Pipeline Ave Ste a
Chino Hills, CA 91709-6027
Phone (909) 606-0886

Other practice location 1

8135 Painter Ave. #200
Whittier, CA 92336
Phone (951) 833-3387

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
1611CAMDSpeech-Language Assistant
26713CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550880000000",
    "number": "1194067405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14772 PIPELINE AVE STE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096027",
            "telephone_number": "909-606-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14772 PIPELINE AVE STE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096027",
            "telephone_number": "909-606-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8135 Painter Ave. #200",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "92336",
            "country_code": "US",
            "telephone_number": "951-833-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGALLON",
        "first_name": "SIRENA",
        "middle_name": "LISETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2019-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "1611",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; 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.