Lisette Garcia, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

31885 Issued in CA

Practice address

26091 Meridian St
Hemet, CA 92544-6401

Phone

(951) 765-1660

NPI assigned

Mar 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lisette Garcia Vega Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Hope Speech and Language Therapy

  • Hearing and Speech Clinic/Center
  • Murrieta, CA
  • NPI 1730571928
  NPD (past)

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1255872990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27125 LAMDIN AVE",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849097",
            "telephone_number": "951-440-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26091 MERIDIAN ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925446401",
            "telephone_number": "951-765-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LISETTE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "CA",
            "license": "4298",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "31885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISETTE",
            "last_name": "GARCIA VEGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniella Ettasara Garcia, MD
• Elizabeth Garcia
• Gabriel Garcia, RN, MSN, CNS-BC
• Grace Victoria Garcia, LVN
• Janet Garcia
• Maria Del Refugio Garcia
• Marlon Vitug Garcia, MSN, APRN, FNP-C
• Mayra Garcia
• Nicole Elizabeth Garcia
• Saida Stephany Garcia

• Speech-Language Pathologist in Hemet, CA
• Providers in Hemet, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.