NPIMap

Organization Active NPI

Wings Speech and Language Center, Inc

  • Health Maintenance Organization
  • Ontario, CA
National Provider Identifier
1356589071
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
SP16940 Issued in CA
Legal business name
WINGS SPEECH AND LANGUAGE CENTER, INC
Practice address
4100 E. Jurupa St.
Suite 108
Ontario, CA 91761
Phone
(909) 390-1313
Fax
(909) 390-1311
NPI assigned
Feb 3, 2009
Last updated
Apr 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Mrs. Angela Benes, M.C., SLP-CCCNPI 1134445679
Title
Speech Pathologist
Phone
(909) 390-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X SP16940 CA Primary

Addresses

Primary practice location

4100 E. Jurupa St.
Suite 108
Ontario, CA 91761

Mailing address

4100 E. Jurupa St.
Suite 108
Ontario, CA 91761
Phone (909) 390-1313

National Provider Directory

National Provider Directory
Tax ID family
Wings Speech and Language Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4100 Jurupa St
Ste 108
Ontario, CA 91761
Phone (909) 390-1313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1356589071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E. JURUPA ST.",
            "address_2": "SUITE 108",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91761",
            "telephone_number": "909-390-1313",
            "fax_number": "909-390-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E. JURUPA ST.",
            "address_2": "SUITE 108",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91761",
            "telephone_number": "909-390-1313",
            "fax_number": "909-390-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS SPEECH AND LANGUAGE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "BENES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "909-390-1313",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.C., SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "SP16940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.