Michelle Lorraine Santiago del Valle, SLP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

SP27623 Issued in CA

Practice address

1323 W Colton Ave
Redlands, CA 92374-4554

Phone

(909) 883-5069

Fax

(909) 883-5473

NPI assigned

May 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1225696511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11891 OTSEGO LN",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917106402",
            "telephone_number": "310-403-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W COLTON AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744554",
            "telephone_number": "909-883-5069",
            "fax_number": "909-883-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO DEL VALLE",
        "first_name": "MICHELLE",
        "middle_name": "LORRAINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "SP27623",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP27623",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "SP27623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Sandoval
• Michaela Sandoval
• Sang Eun Lee D.D.S. Inc.
• Miguel Sanint Palau, LMFT
• Francisco Manuel Santana, H.A.D. LICENSE
• Luis Alberto S Santillan
• Santorini Enterprises, LLC. (Redlands Surgery Center)
• Casandra Santos, PPS
• Jescelyn A Santos
• Katalena Anastasia Saracino, R.T. (R)(CT)(ARRT)

• Occupational Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.