Individual provider Active NPI

Guadalupe Fajardo Adams

  • Speech-Language Assistant
  • Cypress, CA
National Provider Identifier
1730062142
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
9701 Issued in CA
Practice address
11205 Knott Ave Ste E
Cypress, CA 90630-5489
Phone
(714) 893-7399
NPI assigned
Jul 31, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 9701 CA Primary

Addresses

Primary practice location

11205 Knott Ave Ste E
Cypress, CA 90630-5489

Mailing address

11205 Knott Ave Ste E
Cypress, CA 90630-5489

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

LicenseStateTypeSpecialty
9701CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Pediatric Physical Therapy, Inc CurrentSince Oct 12, 2025 Accepting new patients

Locations

11205 Knott Ave
Ste E
Cypress, CA 90630
Phone (714) 893-7399

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1730062142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 KNOTT AVE STE E",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 KNOTT AVE STE E",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305489",
            "telephone_number": "714-893-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "GUADALUPE",
        "middle_name": "FAJARDO",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "9701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.