Individual provider Active NPI

Ximena Alexandra Talavera, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Norco, CA
National Provider Identifier
1669991642
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP32056 Issued in CA
Practice address
4211 Valley View Ave
Norco, CA 92860-3502
Phone
(951) 340-0431
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SPA4366 CA
Speech-Language Pathologist 235Z00000X SP32056 CA Primary

Addresses

Primary practice location

4211 Valley View Ave
Norco, CA 92860-3502

Mailing address

11226 Green Arbor Dr
Riverside, CA 92505-2532
Phone (951) 235-1986

Other practice location 1

11870 Pierce St
Riverside, CA 92505-4402
Phone (951) 808-5850

Other names 1

  • Ximena Alexandra Barba Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SPA4366CAMDSpeech-Language Assistant
SP32056CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leaps and Bounds Pediatric Physical Therapy Inc Speech-Language Pathologist PastSince Sep 5, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1669991642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11226 GREEN ARBOR DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052532",
            "telephone_number": "951-235-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 VALLEY VIEW AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603502",
            "telephone_number": "951-340-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11870 Pierce St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925054402",
            "country_code": "US",
            "telephone_number": "951-808-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAVERA",
        "first_name": "XIMENA",
        "middle_name": "ALEXANDRA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA4366",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP32056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIMENA",
            "last_name": "BARBA",
            "middle_name": "ALEXANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.