Instrumental Speech Language Pathology Professionals Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

INSTRUMENTAL SPEECH LANGUAGE PATHOLOGY PROFESSIONALS INC.

Practice address

5475 E la Palma Ave Ste 206
Anaheim, CA 92807-2075

Phone

(714) 922-5235

NPI assigned

Mar 25, 2020

Organization subpart

No

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

Authorized official

Name

Lyda Kongswangwongsa, SLPNPI 1891183422

Title

President

Phone

(909) 636-8125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyda Kongswangwongsa

  • Speech-Language Pathologist
  • Orange, CA
  • NPI 1891183422
  Medicare reassignment Care Compare group NPD Authorized official
• Theresa Thuy Dacio, SLP

  • Speech-Language Pathologist
  • Anaheim, CA
  • NPI 1285386920
  Medicare reassignment Care Compare group NPD
• Nicole A Holman

  • Speech-Language Pathologist
  • Anaheim, CA
  • NPI 1770191769
  Medicare reassignment Care Compare group NPD
• Kimberly Esther Hernandez, SLP

  • Speech-Language Pathologist
  • Santa Ana, CA
  • NPI 1275096117
  NPD
• Ashley Crystal Reyes

  • Student in an Organized Health Care Education/Training Program
  • Portales, NM
  • NPI 1881241081
  NPD

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1396372686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE STE 206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-922-5235",
            "fax_number": "714-386-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE STE 206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-922-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5407 E Indian Wells Ct",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928074613",
            "country_code": "US",
            "telephone_number": "909-636-8125",
            "fax_number": "855-892-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSTRUMENTAL SPEECH LANGUAGE PATHOLOGY PROFESSIONALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "KONGSWANGWONGSA",
        "authorized_official_first_name": "LYDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-636-8125",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Anaheim, CA
• Providers in Anaheim, 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 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.