Active NPI
Sherri Medina
- Speech-Language Pathologist
- Orange, CA
National Provider Identifier
1285022335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP6049
- Practice address
- 393 S Tustin St
Orange, CA 92866-2501 - Phone
- (714) 289-2400
- NPI assigned
- Dec 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP6049 | CA | Primary |
Addresses
Primary practice location
393 S Tustin St
Orange, CA 92866-2501
Mailing address
25721 Raintree Rd
Laguna Hills, CA 92653-7530
Phone (949) 637-4573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6049 | CA | MD | Occupational Therapist |
| SP6049 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Summit Rehabilitation and Healthcare, LLC | Current | Accepting new patients | |
| VSC Hbo, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Arlington Heights, IL
- NPI 1508256561
-
- Special Hospital
- Orange, CA
- NPI 1528662954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1285022335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25721 RAINTREE RD",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926537530",
"telephone_number": "949-637-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662501",
"telephone_number": "714-289-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "SHERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-23",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP6049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.