Theraprise LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9198 Issued in CA

Legal business name

THERAPRISE LLC

Practice address

600 Anton Blvd
Suite 1100
Costa Mesa, CA 92626-7221

Phone

(714) 371-4222

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Leo Di Giacomo

Title

Chief Financial Officer

Phone

(714) 371-4222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1598080988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ANTON BLVD",
            "address_2": "SUITE 1100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267221",
            "telephone_number": "714-371-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ANTON BLVD",
            "address_2": "SUITE 1100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267221",
            "telephone_number": "714-371-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "DI GIACOMO",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-371-4222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP9198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Costa Mesa, 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 Mar 29, 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.