Individual provider Active NPI

Jenna Ray, MS CCC-SLP

  • Speech-Language Pathologist
  • Montclair, CA
National Provider Identifier
1265344006
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
39828 Issued in CA
Practice address
4725 Benito St
Montclair, CA 91763-2799
Phone
(909) 621-6781
NPI assigned
Sep 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 39828 CA Primary

Addresses

Primary practice location

4725 Benito St
Montclair, CA 91763-2799

Mailing address

4725 Benito St
Montclair, CA 91763-2705
Phone (909) 988-8511

Other practice location 1

901 W Francis St
Ontario, CA 91762-6214
Phone (909) 988-7411 ext. 2289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1265344006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 BENITO ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632705",
            "telephone_number": "909-988-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 BENITO ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632799",
            "telephone_number": "909-621-6781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Francis St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917626214",
            "country_code": "US",
            "telephone_number": "909-988-7411 x2289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "JENNA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "39828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.