Individual provider Active NPI

Jason Robert Bergancia, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Temecula, CA
National Provider Identifier
1285878132
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP16225 Issued in CA
Practice address
27720 Jefferson Ave Ste 120
Temecula, CA 92590-2609
Phone
(619) 807-4336
Fax
(844) 332-5907
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language Pathologist 235Z00000X SP16225 CA Primary
Physical Therapist 225100000X

Addresses

Primary practice location

27720 Jefferson Ave Ste 120
Temecula, CA 92590-2609

Mailing address

27720 Jefferson Ave Ste 120
Temecula, CA 92590-2609
Phone (619) 807-4336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200423002871 CA Practitioner - Qualified Speech Language Pathologist 5890073027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP16225CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Expressions Speech-Language Pathology Services, Inc. Multi-Specialty CurrentSince Mar 1, 2020 Accepting new patients
First Expressions Speech-Language Pathology Services, Inc. Multi-Specialty Past Accepting new patients

Locations

6370 Magnolia Ave
Ste 210
Riverside, CA 92506
Phone (760) 241-6044

1582 W San Marcos Blvd
Ste 301
San Marcos, CA 92078
Phone (619) 807-4336

27720 Jefferson Ave
Ste 120
Temecula, CA 92590
Phone (619) 807-4336

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.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1285878132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27720 JEFFERSON AVE STE 120",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902609",
            "telephone_number": "619-807-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27720 JEFFERSON AVE STE 120",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902609",
            "telephone_number": "619-807-4336",
            "fax_number": "844-332-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGANCIA",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP16225",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.