Organization Active NPI

Paradise Speech Clinic LLC

  • Speech-Language Pathologist
  • Irvine, CA
National Provider Identifier
1649638305
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PARADISE SPEECH CLINIC LLC
Practice address
18103 Sky Park Cir
Suite a
Irvine, CA 92614-6512
Phone
(949) 573-0873
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Mrs. Radna Talita Shaver-Schenker, SPANPI 1730542556
Title
Speech and Language Pathology Asst
Phone
(714) 408-6433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X CA Primary

Addresses

Primary practice location

18103 Sky Park Cir
Suite a
Irvine, CA 92614-6512

Mailing address

18103 Sky Park Cir
Suite a
Irvine, CA 92614-6512
Phone (949) 573-0873

National Provider Directory

National Provider Directory

Locations

18103 Sky Park Cir
Ste A
Irvine, CA 92614
Phone (949) 573-0873

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1649638305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18103 SKY PARK CIR",
            "address_2": "SUITE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146512",
            "telephone_number": "949-573-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18103 SKY PARK CIR",
            "address_2": "SUITE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146512",
            "telephone_number": "949-573-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE SPEECH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "SHAVER-SCHENKER",
        "authorized_official_first_name": "RADNA",
        "authorized_official_middle_name": "TALITA",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGY ASST",
        "authorized_official_telephone_number": "714-408-6433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SPA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.