Organization Active NPI

Sweet Pea Speech

  • Speech-Language Pathologist
  • Irvine, CA
National Provider Identifier
1326547936
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19532 Issued in CA
Legal business name
SWEET PEA SPEECH
Practice address
17875 Von Karman Ave BLDG A150
Irvine, CA 92614-6200
Phone
(949) 873-6644
NPI assigned
Feb 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Elaina Marrujo, SLP
Title
Owner
Phone
(949) 307-6562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 19532 CA Primary

Addresses

Primary practice location

17875 Von Karman Ave BLDG A150
Irvine, CA 92614-6200

Mailing address

17875 Von Karman Ave BLDG A150
Irvine, CA 92614-6200
Phone (949) 873-6644

National Provider Directory

National Provider Directory

Locations

17875 Von Karman Ave
Bldg A150
Irvine, CA 92614
Phone (949) 873-6644

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1326547936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17875 VON KARMAN AVE BLDG A150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146200",
            "telephone_number": "949-873-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17875 VON KARMAN AVE BLDG A150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146200",
            "telephone_number": "949-873-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET PEA SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "MARRUJO",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-307-6562",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.