Individual provider Active NPI

Shannon Scalera, M.S., CF-SLP

  • Speech-Language Pathologist
  • Irvine, CA
National Provider Identifier
1487249231
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15304 Issued in CA
Practice address
19782 Macarthur Blvd Ste 310
Irvine, CA 92612-2417
Phone
(949) 929-9248
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 15304 CA Primary

Addresses

Primary practice location

19782 Macarthur Blvd Ste 310
Irvine, CA 92612-2417

Mailing address

19782 Macarthur Blvd
Irvine, CA 92612-2452

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15304CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sholeh Shahinfar, Speech Language Pathology Inc CurrentSince Feb 11, 2024 Accepting new patients
Sholeh Shahinfar, Speech Language Pathology Inc Speech-Language Pathologist PastSince Mar 7, 2021 Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients

Locations

19782 MacArthur Blvd
Ste 310
Irvine, CA 92612
Phone (949) 833-2383

Organizations & group practices 3

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1487249231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19782 MACARTHUR BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19782 MACARTHUR BLVD STE 310",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122417",
            "telephone_number": "949-929-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALERA",
        "first_name": "SHANNON",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.