Alexandra Chacon, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30147 Issued in CA

Practice address

18050 Vanowen St
Reseda, CA 91335-5638

Phone

(818) 888-4559

NPI assigned

Sep 13, 2019

Last updated

Nov 25, 2025By the provider in NPPES

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

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child Development Institute

  • Clinical Child & Adolescent Psychologist
  • Reseda, CA
  • NPI 1770616310

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1275183089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16831 HORACE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445047",
            "telephone_number": "818-521-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18050 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355638",
            "telephone_number": "818-888-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Simi Town Center Way Ste 655",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930650538",
            "country_code": "US",
            "telephone_number": "805-416-0494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACON",
        "first_name": "ALEXANDRA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centennial Healthcare LLC (gateway homes)
• Center at Parkwest, Inc.
• Center for Neuro Imaging Inc
• Central Valley Medical Clinic, Inc
• Century Discount Pharmacy Inc (Century Discount Pharmacy)
• Marwan Loutfi Chahayed, DC
• Nancy Benitez Chandler, PH.D.
• Aisha Tenaiya-Anne Chason
• Jeanette Christine Chavez
• Shia Cheung

• Speech-Language Pathologist in Reseda, CA
• Providers in Reseda, 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 Nov 25, 2025; 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.