Vivian Muangsiri Kleiser, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.005421 Issued in IL

Practice address

1515 E Ocean Ave
Lompoc, CA 93436-7092

Phone

(805) 737-3388

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1568024719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 ATTERDAG RD",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632604",
            "telephone_number": "805-688-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367092",
            "telephone_number": "805-737-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEISER",
        "first_name": "VIVIAN",
        "middle_name": "MUANGSIRI",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30263",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.005421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Warren Kirsch
• Marissa Nadine Kirwin
• Mikal Kirwin
• Christina Denise Kleckner, MA/CCC/SLP
• Turtle K a. Klein
• Janis R. Knox, MA MFT
• Loraine Christiane Koff, EF9F228124
• Nicholas A Kormos
• Joyce Elaine Kougl, LMFT
• Sherrie Kovach

• Speech-Language Pathologist in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.