Individual provider Active NPI

Astrid Jovana Calderon Morales, SLP

  • Speech-Language Pathologist
  • Bryan, TX
National Provider Identifier
1619501186
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116433 Issued in TX
Practice address
2505 E Villa Maria Rd
Bryan, TX 77802-2069
Phone
(979) 776-4778
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 116433 TX Primary

Addresses

Primary practice location

2505 E Villa Maria Rd
Bryan, TX 77802-2069

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (352) 382-7214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220830001592 TX Practitioner - Qualified Speech Language Pathologist 2961886668 Reassigns benefits to 1 organization
I20220921002640 CA Practitioner - Qualified Speech Language Pathologist 2961886668 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Slptele LLC Speech-Language Pathologist CurrentSince May 19, 2022 Accepting new patients
All Care Physical Therapy, P.C. Speech-Language Pathologist CurrentSince Jun 8, 2022 Accepting new patients
Seersoft Past Accepting new patients
The Hand & Upper Extremity Center Inc PastSince Jun 8, 2022 Accepting new patients

Locations (25 of 54)

1101 Marina Village Pkwy
Ste 201
Alameda, CA 94501
Phone (510) 493-3438

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

4900 California Ave
Ste 2
Bakersfield, CA 93309

18000 Studebaker Rd
Ste 700
Cerritos, CA 90703
Phone (562) 400-6047

333 H St
Ste 5000
Chula Vista, CA 91910
Phone (619) 349-5410

599 S Barranca Ave
Ste 555
Covina, CA 91723
Phone 81889422731025

500 La Terraza Blvd
Ste 150
Escondido, CA 92025
Phone (760) 232-6788

516 W Shaw Ave
Ste 200
Fresno, CA 93704
Phone (559) 221-2584

5806 Pacific Blvd
Huntington Park, CA 90255

530 Technology Dr
Ste 100
Irvine, CA 92618
Phone (213) 375-4070

23046 Avenida de la Carlota
Ste 600
Laguna Hills, CA 92653
Phone (714) 504-5347

4300 Long Beach Blvd
Ste 700
Long Beach, CA 90807

5450 W Pico Blvd
Ste 202
Los Angeles, CA 90019
Phone (214) 893-2790

3407 W 6th St
Ste 716
Los Angeles, CA 90020

6420 Wilshire Blvd
Ste 600
Los Angeles, CA 90048
Phone 81889422731025

931 10th St
Modesto, CA 95354
Phone (209) 661-5576

8550 Balboa Blvd
Ste 242
Northridge, CA 91325

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

333 City Blvd W
Fl 17
Orange, CA 92868
Phone (714) 707-2805

1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799

1000 Town Center Dr
Ste 300
Oxnard, CA 93036
Phone (805) 351-8860

1008 W Avenue M14
Ste A
Palmdale, CA 93551
Phone (619) 760-7025

9431 Haven Ave
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 480-1735

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

333 University Ave
Ste 200
Sacramento, CA 95825
Phone (707) 864-6860

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1619501186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465028",
            "telephone_number": "352-382-7214",
            "fax_number": "352-382-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022069",
            "telephone_number": "979-776-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON MORALES",
        "first_name": "ASTRID",
        "middle_name": "JOVANA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.