Active NPI
Sandra Shigetomi-Toyama
- Speech-Language Pathologist
- Newport Beach, CA
National Provider Identifier
1659535268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#12262
- Practice address
- 3300 Irvine Ave
Suite 111
Newport Beach, CA 92660-3109 - Phone
- (714) 306-1225
- Fax
- (949) 250-9485
- NPI assigned
- Jul 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#12262 | CA | Primary |
Addresses
Primary practice location
3300 Irvine Ave
Suite 111
Newport Beach, CA 92660-3109
Mailing address
3300 Irvine Ave
Suite 111
Newport Beach, CA 92660-3109
Phone (713) 306-1225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#12262 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230336000000",
"number": "1659535268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 IRVINE AVE",
"address_2": "SUITE 111",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603109",
"telephone_number": "713-306-1225",
"fax_number": "949-250-9485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 IRVINE AVE",
"address_2": "SUITE 111",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603109",
"telephone_number": "714-306-1225",
"fax_number": "949-250-9485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIGETOMI-TOYAMA",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-12",
"last_updated": "2008-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP#12262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.