Active NPI
Suzanne Renee Molera, B.A COMM. DISORDERS
- Speech-Language Assistant
- Anaheim Hills, CA
National Provider Identifier
1235573304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SPA 170
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SPA 170 | CA | MD | Speech-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.