NPIMap

Organization Active NPI

Progress Speech & Language Pathology Center, Inc.

Doing business as Progress Speech & Language Center

  • Speech-Language Pathologist
  • Anaheim, CA
National Provider Identifier
1609273234
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP12464 Issued in CA
Legal business name
PROGRESS SPEECH & LANGUAGE PATHOLOGY CENTER, INC.
Doing business as
Progress Speech & Language Center
Practice address
304 W Cerritos Ave
Anaheim, CA 92805-6550
Phone
(714) 533-1230
Fax
(714) 533-1232
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Peter Jeong
Title
Office Manager
Phone
(714) 533-1230

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT40121 CA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT14047 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP12464 CA Primary

Addresses

Primary practice location

304 W Cerritos Ave
Anaheim, CA 92805-6550

Mailing address

304 W Cerritos Ave
Anaheim, CA 92805-6550
Phone (714) 533-1230

Other names 1

  • Progress Speech & Language Center Doing business as

National Provider Directory

National Provider Directory

Locations

303 W Lincoln Ave
Ste 140
Anaheim, CA 92805
Phone (714) 776-1231

2700 N Main St
Ste 945
Santa Ana, CA 92705
Phone (714) 542-1234

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1609273234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W CERRITOS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056550",
            "telephone_number": "714-533-1230",
            "fax_number": "714-533-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W CERRITOS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056550",
            "telephone_number": "714-533-1230",
            "fax_number": "714-533-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS SPEECH & LANGUAGE PATHOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-533-1230"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40121",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT14047",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP12464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progress Speech & Language Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.