Individual provider Active NPI

Lianne Nahina Pfister, M.A., CCC-SLP

  • Speech-Language Pathologist
  • San Clemente, CA
National Provider Identifier
1508287806
Registry record updated Jan 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7195 Issued in CA
Practice address
420 Camino de Estrella
San Clemente, CA 92672-3509
Phone
(949) 257-5627
Fax
(949) 248-2302
NPI assigned
Jan 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2014

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 7195 CA Primary

Addresses

Primary practice location

420 Camino de Estrella
San Clemente, CA 92672-3509

Mailing address

33871 Calle Conejo
San Juan Capistrano, CA 92675-5049
Phone (949) 257-5627

Other names 1

  • Lianne Nahina Pfister Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501003659 CA Practitioner - Qualified Speech Language Pathologist 5991273476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Balance Solution Institute of Physiotherapy IncGroup PAC ID 2062427305, 29 clinicians

Practice addresses (Care Compare)

23141 Moulton Pkwy
Suite 111
Laguna Hills, CA 92653-1241
Phone (949) 340-6927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7195CAMDAcupuncturist

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": "1388793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388793600000",
    "number": "1508287806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33871 CALLE CONEJO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755049",
            "telephone_number": "949-257-5627",
            "fax_number": "949-248-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CAMINO DE ESTRELLA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723509",
            "telephone_number": "949-257-5627",
            "fax_number": "949-248-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFISTER",
        "first_name": "LIANNE",
        "middle_name": "NAHINA",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-04",
        "last_updated": "2014-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "7195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIANNE",
            "last_name": "PFISTER",
            "middle_name": "NAHINA",
            "credential": "ABD, M.A., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.