Active NPI
Irene Isabelle Espitia
- Speech-Language Assistant
- Garden Grove, CA
National Provider Identifier
1417577677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SPA6043
- Practice address
- 12552 Western Ave
Garden Grove, CA 92841-4013 - Phone
- (949) 329-8161
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SPA6043 | CA | Primary |
Addresses
Primary practice location
12552 Western Ave
Garden Grove, CA 92841-4013
Mailing address
7974 La Habra Cir
Buena Park, CA 90620-2415
Phone (714) 457-7160
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPA6043 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Speech Therapy Corp | Speech-Language Assistant | Current | Accepting new patients |
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": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1417577677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 LA HABRA CIR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202415",
"telephone_number": "714-457-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12552 WESTERN AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928414013",
"telephone_number": "949-329-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPITIA",
"first_name": "IRENE",
"middle_name": "ISABELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "SPA6043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.