Lauren Gancayco, RPE-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13387 Issued in CA

Practice address

4010 Barranca Pkwy Ste 220
Irvine, CA 92604-1721

Phone

(949) 857-6051

NPI assigned

Jun 15, 2019

Last updated

Jun 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Pathology Associates

  • Speech-Language Pathologist
  • Irvine, CA
  • NPI 1710260179
  NPD (past)

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1619537370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 REDONDO BEACH BLVD APT 131",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905041401",
            "telephone_number": "714-875-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 BARRANCA PKWY STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041721",
            "telephone_number": "949-857-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCAYCO",
        "first_name": "LAUREN",
        "credential": "RPE-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-15",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "XEK905514506",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elaine Ai Lian Gan Yong, MD
• Brenda Liliana Gandara, PHD
• Najma Latif Gandhi, M.D.
• Vishal Dilip Gandhi, PHARM D
• Ganem Chiropractic Professional Corp (Body Pro Chiropractic)
• Ganem Chiropractic Professional Corporation (BodyPro Chiropractic)

• Speech-Language Pathologist in Irvine, CA
• Providers in Irvine, 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 Jun 15, 2019; 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.