Active NPI
Macey Marie Robles, B.A.
- Speech-Language Assistant
- Riverside, CA
National Provider Identifier
1215798228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 8323
- Practice address
- 11810 Pierce St Ste 200
Riverside, CA 92505-5173 - Phone
- (951) 808-5850
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 8323 | CA | Primary |
Addresses
Primary practice location
11810 Pierce St Ste 200
Riverside, CA 92505-5173
Mailing address
15369 Feldspar Dr
Chino Hills, CA 91709-2160
Phone (909) 548-9570
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucid Speech & Language | Past | Accepting new patients | |
| Lucid Speech and Language Clinic, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Murrieta, CA
- NPI 1336240324
-
- Speech-Language Pathologist
- Murrieta, CA
- NPI 1457805251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1215798228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15369 FELDSPAR DR",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917092160",
"telephone_number": "909-548-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11810 PIERCE ST STE 200",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925055173",
"telephone_number": "951-808-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "MACEY",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "8323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.