Individual provider Active NPI

Suzanne Renee Molera, B.A COMM. DISORDERS

  • Speech-Language Assistant
  • Anaheim Hills, CA
National Provider Identifier
1235573304
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SPA 170 Issued in CA
Practice address
160 Old Springs Rd., Ste. 100
Anaheim Hills Speech and Language Center
Anaheim Hills, CA 92808
Phone
(714) 282-8852
Fax
(714) 282-8876
NPI assigned
Apr 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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 SPA 170 CA Primary

Addresses

Primary practice location

160 Old Springs Rd., Ste. 100
Anaheim Hills Speech and Language Center
Anaheim Hills, CA 92808

Mailing address

24602 Via Vallarta
Yorba Linda, CA 92887
Phone (714) 692-9563

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

State licenses

LicenseStateTypeSpecialty
SPA 170CAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1235573304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24602 VIA VALLARTA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92887",
            "telephone_number": "714-692-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OLD SPRINGS RD., STE. 100",
            "address_2": "ANAHEIM HILLS SPEECH AND LANGUAGE CENTER",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "92808",
            "telephone_number": "714-282-8852",
            "fax_number": "714-282-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLERA",
        "first_name": "SUZANNE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "B.A COMM. DISORDERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA 170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.