Active NPI
Camino Speech Therapy, PC
- Speech-Language Pathologist
- Encinitas, CA
National Provider Identifier
1376348979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CAMINO SPEECH THERAPY, PC
- Practice address
- 2118 Valleydale LN
Encinitas, CA 92024-4240 - Phone
- (619) 450-9127
- NPI assigned
- Feb 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erica Anne Pedersen, M.S., CCC-SLP
- Title
- Chief Executive Officer
- Phone
- (619) 450-9127
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2118 Valleydale LN
Encinitas, CA 92024-4240
Mailing address
2118 Valleydale LN
Encinitas, CA 92024-4240
Phone (619) 450-9127
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Murrieta, CA
- NPI 1770236671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1376348979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2118 VALLEYDALE LN",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920244240",
"telephone_number": "619-450-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 VALLEYDALE LN",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920244240",
"telephone_number": "619-450-9127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMINO SPEECH THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-17",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "PEDERSEN",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "619-450-9127",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.