Individual provider Active NPI

Jonathan Ashley Van Leeuwen, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Menifee, CA
National Provider Identifier
1548112659
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
220275346 Issued in CA
Practice address
30465 Evans Rd
Menifee, CA 92584-7342
Phone
(951) 246-7690
NPI assigned
Feb 11, 2026
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14288669 CA
Speech-Language Pathologist 235Z00000X 220275346 CA Primary

Addresses

Primary practice location

30465 Evans Rd
Menifee, CA 92584-7342

Mailing address

25551 Day Lily Dr
Murrieta, CA 92563-5367

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14288669CAMDSpeech-Language Pathologist
220275346CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1548112659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25551 DAY LILY DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30465 EVANS RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847342",
            "telephone_number": "951-246-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LEEUWEN",
        "first_name": "JONATHAN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mr.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14288669",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "220275346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.