Steven Eugene Glance, M.S., C.C.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5116 Issued in CA

Practice address

12777 Valley View St Ste 212
Garden Grove, CA 92845-2522

Phone

(562) 807-0258

Fax

(714) 892-3040

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Coast Speech Pathology & Associates

  • Speech-Language Pathologist
  • Garden Grove, CA
  • NPI 1750572814
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1376766162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST STE 212",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452522",
            "telephone_number": "562-807-0258",
            "fax_number": "714-892-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST STE 212",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452522",
            "telephone_number": "562-807-0258",
            "fax_number": "714-892-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANCE",
        "first_name": "STEVEN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "M.S., C.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Garden Grove, CA
• Providers in Garden Grove, 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 Aug 2, 2007; 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.