Individual provider Active NPI

Sierra Moon

  • Speech-Language Assistant
  • Los Alamitos, CA
National Provider Identifier
1235508953
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
3330 Issued in CA
Practice address
3722 Katella Ave Ste C
Los Alamitos, CA 90720-3102
Phone
(562) 270-2970
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 3330 CA Primary

Addresses

Primary practice location

3722 Katella Ave Ste C
Los Alamitos, CA 90720-3102

Mailing address

16972 Hoskins LN Apt 2
Huntington Beach, CA 92649-5000
Phone (760) 780-9664

Other practice location 1

249 E Ocean Blvd
Suite 400
Long Beach, CA 90802-4849
Phone (888) 808-7838

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

State licenses

LicenseStateTypeSpecialty
3330CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chatterbox Speech Pathology, Inc Speech-Language Assistant CurrentSince Oct 25, 2020 Accepting new patients
Jackson Jade & Associates, a Speech Pathology Corporation Past Accepting new patients

Locations

3722 Katella Ave
#C
Los Alamitos, CA 90720
Phone (562) 270-2970

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.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1235508953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16972 HOSKINS LN APT 2",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926495000",
            "telephone_number": "760-780-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 KATELLA AVE STE C",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203102",
            "telephone_number": "562-270-2970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 E Ocean Blvd",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908024849",
            "country_code": "US",
            "telephone_number": "888-808-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "SIERRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "3330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.