Active NPI
Laura Mireles
- Speech-Language Pathologist
- Costa Mesa, CA
National Provider Identifier
1326376427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21288
- Practice address
- 3400 Avenue of the Arts Apt J204
Costa Mesa, CA 92626-7642 - Phone
- (219) 742-4671
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 21288 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 124420 | TX |
Addresses
Primary practice location
3400 Avenue of the Arts Apt J204
Costa Mesa, CA 92626-7642
Mailing address
3400 Avenue of the Arts
Apt. J204
Costa Mesa, CA 92626-7642
Phone (219) 742-4671
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21288 | CA | MD | Professional Counselor |
| 124420 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1326376427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 AVENUE OF THE ARTS",
"address_2": "APT. J204",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926267642",
"telephone_number": "219-742-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 AVENUE OF THE ARTS APT J204",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926267642",
"telephone_number": "219-742-4671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRELES",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "21288",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "124420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.