Central Coast Speech Pathology and Orofacial Myology

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

S96072 Issued in CA

Legal business name

CENTRAL COAST SPEECH PATHOLOGY AND OROFACIAL MYOLOGY

Practice address

210 Traffic Way
Suite C
Arroyo Grande, CA 93420-3368

Phone

(805) 441-1055

Fax

(805) 904-6133

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Patricia J Grant, MANPI 1821083775

Title

Owner/Operator

Phone

(805) 441-1055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Patricia Jude Grant, MA, CCC, COM

  • Speech-Language Pathologist
  • Arroyo Grande, CA
  • NPI 1821083775
  NPD (past) Authorized official
• River Steinberg

  • Speech-Language Pathologist
  • Arroyo Grande, CA
  • NPI 1659940252
  NPD (past)

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1477906451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TRAFFIC WAY",
            "address_2": "SUITE C",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203368",
            "telephone_number": "805-441-1055",
            "fax_number": "805-904-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TRAFFIC WAY",
            "address_2": "SUITE C",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203368",
            "telephone_number": "805-441-1055",
            "fax_number": "805-904-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST SPEECH PATHOLOGY AND OROFACIAL MYOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "805-441-1055",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "S96072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821083775",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Cecena, M.S., CCC-SLP
• Central Coast Behavioral Health, Inc.
• Central Coast in Home Care Services LLC
• Central Coast Psychological Services Corporation
• Central Coast Retina Inc
• Central Coast Spine and Pain Management Center, Inc.
• Cep America - Anesthesia PC
• Cep America - California
• Eric Siu Ping Chan, M.D.
• G Chan, PHARMD

• All providers in Arroyo Grande, CA
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.