Tina-Siu Lee

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12498 Issued in CA

Practice address

30252 Tomas Ste 100
Rancho Santa Margarita, CA 92688-2181

Phone

(949) 459-1658

NPI assigned

Oct 11, 2013

Sex

Female

Sole proprietor

Yes

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.

• Rainbow Kids Achievement Center

  • Pediatric Occupational Therapist
  • Rancho Santa Margarita, CA
  • NPI 1043465487

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1194152918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LIVINGSTON PL",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30252 TOMAS STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882181",
            "telephone_number": "949-459-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TINA-SIU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Chung Lavinder, OD
• Andrew Wonjoo Lee, D.D.S.
• Kevin Kwonki Lee, DDS
• Mido Lee, R.D.H. A.P
• Ryan Aesop Lee, MS, ATC
• Craig A Legacy, PT,ATC,CSCS
• Jacqueline Michelle Levin, D.O.
• Kylee Lewallen
• Autumn Lewis, R.D.
• Yaaqov Libovner, PT, DPT

• Speech-Language Pathologist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.