Individual provider Active NPI

Melissa Perez, SLP

  • Speech-Language Pathologist
  • El Centro, CA
National Provider Identifier
1366027187
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
31562018 Issued in CA
Practice address
1073 Ross Ave Ste C
El Centro, CA 92243-4371
Phone
(760) 460-6781
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14670 CA
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 31562018 CA Primary

Addresses

Primary practice location

1073 Ross Ave Ste C
El Centro, CA 92243-4371

Mailing address

1737 W Olive Ave Unit a
El Centro, CA 92243-2269
Phone (760) 460-6781

Other practice location 1

41555 Cook St Ste 130
Palm Desert, CA 92211-5184
Phone (760) 837-0033

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
31562018CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Honeybee Speech Therapy Inc. Single Specialty CurrentSince Jul 21, 2024 Accepting new patients

Locations

1699 W Main St
Ste N
El Centro, CA 92243
Phone (760) 483-3065

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1366027187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 W OLIVE AVE UNIT A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432269",
            "telephone_number": "760-460-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 ROSS AVE STE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434371",
            "telephone_number": "760-460-6781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41555 Cook St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922115184",
            "country_code": "US",
            "telephone_number": "760-837-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MELISSA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14670",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "31562018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.