NPIMap

Organization Active NPI

Burciaga Speech Pathology, Inc.

Doing business as Our Home Pediatric Therapy

  • Speech-Language Pathologist
  • Ontario, CA
National Provider Identifier
1669192282
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BURCIAGA SPEECH PATHOLOGY, INC.
Doing business as
Our Home Pediatric Therapy
Practice address
2920 Inland Empire Blvd Ste 103
Ontario, CA 91764-5565
Phone
(909) 235-9875
Fax
(909) 614-4922
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Stefanie Burciaga, MS, CCC-SLPNPI 1518208990
Title
Ceo
Phone
(909) 235-9875

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: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2920 Inland Empire Blvd Ste 103
Ontario, CA 91764-5565

Mailing address

2920 Inland Empire Blvd Ste 103
Ontario, CA 91764-5565
Phone (909) 235-9875

Other names 1

  • Our Home Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2920 Inland Empire Blvd
Ste 103
Ontario, CA 91764
Phone (909) 235-9875

Practitioners & affiliated clinicians

Practitioners 4

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": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1669192282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 INLAND EMPIRE BLVD STE 103",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645565",
            "telephone_number": "909-235-9875",
            "fax_number": "909-614-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 INLAND EMPIRE BLVD STE 103",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645565",
            "telephone_number": "909-235-9875",
            "fax_number": "909-614-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURCIAGA SPEECH PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "BURCIAGA",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-235-9875",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Home Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Our Home Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.