Individual provider Active NPI

Angelica Centeno-Shreder, MA, CCC-SLP, SLPC

  • Speech-Language Pathologist
  • Escondido, CA
National Provider Identifier
1386581767
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12176 Issued in CA
Practice address
2310 Aldergrove Ave
Escondido, CA 92029-1935
Phone
(760) 432-2400
NPI assigned
May 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12176 CA Primary

Addresses

Primary practice location

2310 Aldergrove Ave
Escondido, CA 92029-1935

Mailing address

13446 Mango Dr
Del Mar, CA 92014-3537
Phone (858) 204-2757

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
12176CAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1386581767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13446 MANGO DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143537",
            "telephone_number": "858-204-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 ALDERGROVE AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920291935",
            "telephone_number": "760-432-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO-SHREDER",
        "first_name": "ANGELICA",
        "credential": "MA, CCC-SLP, SLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; 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.