Individual provider Active NPI

Brandi Logan-Ochoa

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1316348410
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4350 E Ray Rd Ste 101a
Phoenix, AZ 85044-4707
Phone
(323) 395-1647
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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 Primary

Addresses

Primary practice location

4350 E Ray Rd Ste 101a
Phoenix, AZ 85044-4707

Mailing address

3841 Sheffield Ave
Los Angeles, CA 90032-2426
Phone (323) 395-1647

Other identifiers 1

IdentifierTypeStateIssuer
131-634-8410OtherSPEECH THERAPIST

Other names 1

  • Brandi Logan Ochoa Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL .

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Pediatric Therapy CurrentSince Mar 6, 2022 Accepting new patients

Locations

4350 E Ray Rd
Ste 101A
Phoenix, AZ 85044
Phone (480) 704-5954

Organizations & group practices 1

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": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1316348410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 SHEFFIELD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900322426",
            "telephone_number": "323-395-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E RAY RD STE 101A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444707",
            "telephone_number": "323-395-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN-OCHOA",
        "first_name": "BRANDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPIST",
            "identifier": "131-634-8410",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".",
            "affiliation": "N",
            "address_1": "4350 E Ray Rd Ste 101A",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850444707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "LOGAN OCHOA",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.