Organization Active NPI

Ieppros Dba Shine Education and Therapy Center

  • Speech-Language Pathologist
  • Placentia, CA
National Provider Identifier
1710838446
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
IEPPROS DBA SHINE EDUCATION AND THERAPY CENTER
Practice address
701 W Kimberly Ave Ste 264
Placentia, CA 92870-6342
Phone
(714) 822-0551
NPI assigned
Feb 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Mrs. Michelle Ballesteros
Title
Executive Directot
Phone
(714) 822-0551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

701 W Kimberly Ave Ste 264
Placentia, CA 92870-6342

Mailing address

701 W Kimberly Ave Ste 264
Placentia, CA 92870-6342
Phone (714) 822-0551

National Provider Directory

National Provider Directory

Locations

701 W Kimberly Ave
Ste 264
Placentia, CA 92870
Phone (714) 822-0551

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1710838446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W KIMBERLY AVE STE 264",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706342",
            "telephone_number": "714-822-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W KIMBERLY AVE STE 264",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706342",
            "telephone_number": "714-822-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IEPPROS DBA SHINE EDUCATION AND THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOT",
        "authorized_official_telephone_number": "714-822-0551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.