Individual provider Active NPI

Ryan Sturgis, CF-SLP

  • Speech-Language Pathologist
  • Temecula, CA
National Provider Identifier
1508215070
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
RPE 10102 Issued in CA
Practice address
29377 Rancho California Rd Ste 102
Temecula, CA 92591-5206
Phone
(951) 595-4673
Fax
(951) 595-4301
NPI assigned
Jun 6, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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 RPE 10102 CA Primary

Addresses

Primary practice location

29377 Rancho California Rd Ste 102
Temecula, CA 92591-5206

Mailing address

29377 Rancho California Rd Ste 102
Temecula, CA 92591-5206
Phone (951) 595-4673

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

LicenseStateTypeSpecialty
RPE 10102CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1508215070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29377 RANCHO CALIFORNIA RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915206",
            "telephone_number": "951-595-4673",
            "fax_number": "951-595-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29377 RANCHO CALIFORNIA RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915206",
            "telephone_number": "951-595-4673",
            "fax_number": "951-595-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGIS",
        "first_name": "RYAN",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE 10102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

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