NPIMap

Organization Active NPI

Dynamic Therapy Solutions and Dyslexia Center, PC

  • Speech-Language Pathologist
  • Palmdale, CA
National Provider Identifier
1265711998
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP11463 Issued in CA
Legal business name
DYNAMIC THERAPY SOLUTIONS AND DYSLEXIA CENTER, PC
Practice address
190 Sierra Court
Ste C-10
Palmdale, CA 93550
Phone
(661) 274-8454
Fax
(661) 274-7614
NPI assigned
Aug 11, 2011
Last updated
Nov 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Ms. Lisa Carol Sandoval, SLPNPI 1740593748
Title
SLP
Phone
(661) 274-8454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP11463 CA Primary

Addresses

Primary practice location

190 Sierra Court
Ste C-10
Palmdale, CA 93550

Mailing address

190 Sierra Court
Ste C-10
Palmdale, CA 93550
Phone (661) 274-8454

National Provider Directory

National Provider Directory

Locations

9029 Reseda Blvd
Ste 208
Northridge, CA 91324
Phone (818) 341-3798

190 Sierra Ct
Ste C10
Palmdale, CA 93550
Phone (661) 274-8454

3166 E Palmdale Blvd
Ste 112
Palmdale, CA 93550
Phone (661) 274-8454

1899 E Main St
Ventura, CA 93001
Phone (661) 274-8454

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1265711998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SIERRA COURT",
            "address_2": "STE C-10",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93550",
            "telephone_number": "661-274-8454",
            "fax_number": "661-274-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SIERRA COURT",
            "address_2": "STE C-10",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93550",
            "telephone_number": "661-274-8454",
            "fax_number": "661-274-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SOLUTIONS AND DYSLEXIA CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "661-274-8454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.