NPIMap

Organization Active NPI

Speech Pathology Associates

  • Speech-Language Pathologist
  • Irvine, CA
National Provider Identifier
1710260179
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP3260 Issued in CA
Legal business name
SPEECH PATHOLOGY ASSOCIATES
Practice address
4010 Barranca Pkwy Ste 220
Irvine, CA 92604-1721
Phone
(949) 857-6051
Fax
(949) 857-0941
NPI assigned
Sep 22, 2011
Last updated
Sep 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mrs. Barbara C Moore, CCC-SLPNPI 1922164615
Title
Owner
Phone
(949) 857-6051

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 Pathologist 235Z00000X SP3260 CA Primary

Addresses

Primary practice location

4010 Barranca Pkwy Ste 220
Irvine, CA 92604-1721

Mailing address

4010 Barranca Pkwy Ste 220
Irvine, CA 92604-1721
Phone (949) 857-6051

Other identifiers 1

IdentifierTypeStateIssuer
SP0032600MedicaidCA

National Provider Directory

National Provider Directory

Locations

4010 Barranca Pkwy
Ste 220
Irvine, CA 92604
Phone (949) 857-6051

Practitioners & affiliated clinicians

Practitioners 11

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": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1710260179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 BARRANCA PKWY STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041721",
            "telephone_number": "949-857-6051",
            "fax_number": "949-857-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 BARRANCA PKWY STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041721",
            "telephone_number": "949-857-6051",
            "fax_number": "949-857-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-857-6051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP3260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP0032600",
            "state": "CA"
        }
    ],
    "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 Sep 22, 2011; 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.