Riverside Childrens Speech Services Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

23910 Issued in CA

Legal business name

RIVERSIDE CHILDRENS SPEECH SERVICES INC

Practice address

6670 Alessandro Blvd Ste G
Riverside, CA 92506-5334

Phone

(951) 588-5361

Fax

(951) 900-3777

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Megan Gambino, MS, CCC-SLPNPI 1396106605

Title

Ceo

Phone

(951) 750-9494

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan R Gambino, SLP

  • Speech-Language Pathologist
  • Ontario, CA
  • NPI 1396106605
  NPD Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1205313459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 MILLWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065306",
            "telephone_number": "951-750-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 ALESSANDRO BLVD STE G",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065334",
            "telephone_number": "951-588-5361",
            "fax_number": "951-900-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CHILDRENS SPEECH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "GAMBINO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-750-9494",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "23910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Riverside, CA
• Providers in Riverside, 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 Jul 30, 2020; 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.