5678 Communicate Speech Therapy Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

5678 COMMUNICATE SPEECH THERAPY INC

Practice address

6377 Riverside Ave Ste 203
Riverside, CA 92506-3155

Phone

(951) 892-0529

NPI assigned

Sep 24, 2021

Organization subpart

No

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

Authorized official

Name

Roland Juarez

Title

Owner

Phone

(951) 892-0529

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1336810779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6377 RIVERSIDE AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063155",
            "telephone_number": "951-892-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6377 RIVERSIDE AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063155",
            "telephone_number": "951-892-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5678 COMMUNICATE SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-892-0529"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Riverside, CA
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.