Summer Mariah Carranza, BA CSD, CERT SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

8101 Issued in CA

Practice address

18837 Brookhurst St Ste 109
Fountain Valley, CA 92708-7301

Phone

(714) 861-9595

NPI assigned

Apr 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pacific Coast Speech Therapy, Inc

  • Hearing and Speech Clinic/Center
  • Fountain Valley, CA
  • NPI 1174212542
  NPD

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1245084854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 E 29TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151027",
            "telephone_number": "562-400-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18837 BROOKHURST ST STE 109",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087301",
            "telephone_number": "714-861-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "SUMMER",
        "middle_name": "MARIAH",
        "name_prefix": "Miss",
        "credential": "BA CSD, CERT SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "8101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Neurology Services Medical Clinic
• Jonathan Rex Carlos, PTA
• Caroline Conner MD, Inc
• Jody Noelle Carr, PA-C
• Jennifer Crystal Carranza
• Paola Estephania Carrasquilla
• Brenda Carrillo
• Danny Carrillo
• Alicia Carroll, SLP
• Dan B. Carver, O.D.

• Speech-Language Assistant in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.