Jacqueline Contreras Bugarin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

27279 Issued in CA

Practice address

2700 N Main St Ste 945
Santa Ana, CA 92705-6678

Phone

(714) 542-1234

Fax

(714) 542-1002

NPI assigned

Oct 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jackie Contreras Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Easy Speech Pathology IncGroup PAC ID 2163716457, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Easy Speech Pathology, Inc.

  • Multi-Specialty Clinic/Center
  • Palm Desert, CA
  • NPI 1124434261
  Medicare reassignment Care Compare group NPD
• Easy Speech Therapy Center

  • Speech-Language Pathologist
  • Palm Desert, CA
  • NPI 1881167237
  NPD (past)
• Progress Speech & Language Pathology Center, Inc.

  • Speech-Language Pathologist
  • Anaheim, CA
  • NPI 1609273234
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1336650340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N MAIN ST STE 945",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056678",
            "telephone_number": "714-542-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N MAIN ST STE 945",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056678",
            "telephone_number": "714-542-1234",
            "fax_number": "714-542-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS BUGARIN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "CONTRERAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Consumerhealth, Inc.
• Consumerhealth, Inc.
• Jennessa Consunji
• Lori Ann Conti
• Rishi Ritesh Contractor
• Alyssa Breanne Contreras
• Guadalupe Contreras
• Joceline Contreras
• Joselin Contreras
• Kelly Marie Contreras

• Speech-Language Pathologist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.