Oceans Therapy & Speech Pathology, Inc.

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

OCEANS THERAPY & SPEECH PATHOLOGY, INC.

Practice address

3420 Bristol St FL 6
Costa Mesa, CA 92626-7170

Phone

(714) 794-2034

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

Cassandra Randolph, M.S., CCC-SLPNPI 1871352617

Title

President

Phone

(714) 951-1534

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Cassandra Randolph, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Costa Mesa, CA
  • NPI 1871352617
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1205608924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 OLIVE AVE # 177",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485142",
            "telephone_number": "714-951-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST FL 6",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267170",
            "telephone_number": "714-794-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 18th St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926483808",
            "country_code": "US",
            "telephone_number": "714-951-1534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCEANS THERAPY & SPEECH PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-951-1534",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.