Active NPI
Jessica Alcorta
- Speech-Language Assistant
- Clovis, CA
National Provider Identifier
1669849592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 3388
- Practice address
- 420 Bullard Ave
Suite 104
Clovis, CA 93612-1054 - Phone
- (559) 801-2626
- Fax
- (559) 314-6166
- NPI assigned
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 2355S0801X | 3388 | CA | Primary |
Addresses
Primary practice location
420 Bullard Ave
Suite 104
Clovis, CA 93612-1054
Mailing address
420 Bullard Ave
Suite 104
Clovis, CA 93612-1054
Phone (559) 801-2626
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 |
|---|---|---|---|
| 3388 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Speech Therapy and Life Skills Center PC | Speech-Language Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Fresno, CA
- NPI 1447670534
Speech-Language Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1669849592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 BULLARD AVE",
"address_2": "SUITE 104",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121054",
"telephone_number": "559-801-2626",
"fax_number": "559-314-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 BULLARD AVE",
"address_2": "SUITE 104",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121054",
"telephone_number": "559-801-2626",
"fax_number": "559-314-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCORTA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "3388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.