Organization Active NPI

Bright Speech-Language Pathology, Inc

  • Speech-Language Pathologist
  • San Juan Capistrano, CA
National Provider Identifier
1497079263
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP13502 Issued in CA
Legal business name
BRIGHT SPEECH-LANGUAGE PATHOLOGY, INC
Practice address
30320 Rancho Viejo Rd
Suite 2
San Juan Capistrano, CA 92675-1581
Phone
(949) 500-2847
Fax
(949) 661-1057
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Mrs. Stacey Amber Bright, M, S.NPI 1205070521
Title
Director
Phone
(949) 500-2847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP13502 CA Primary

Addresses

Primary practice location

30320 Rancho Viejo Rd
Suite 2
San Juan Capistrano, CA 92675-1581

Mailing address

30320 Rancho Viejo Rd
Suite 2
San Juan Capistrano, CA 92675-1581
Phone (949) 500-2847

National Provider Directory

National Provider Directory

Locations

30320 Rancho Viejo Rd
Ste 2
San Juan Capistrano, CA 92675
Phone (949) 500-2847

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1497079263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30320 RANCHO VIEJO RD",
            "address_2": "SUITE 2",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751581",
            "telephone_number": "949-500-2847",
            "fax_number": "949-661-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30320 RANCHO VIEJO RD",
            "address_2": "SUITE 2",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751581",
            "telephone_number": "949-500-2847",
            "fax_number": "949-661-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SPEECH-LANGUAGE PATHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-500-2847",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M, S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP13502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.