Active NPI
Claudia Jane Mornout, CCC-SLP
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1740442839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP7056
- Practice address
- 11770 Bernardo Plaza CT
Suite 208
San Diego, CA 92128-2422 - Phone
- (858) 451-2757
- Fax
- (858) 451-2790
- NPI assigned
- Jun 30, 2008
- 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 Pathologist | 235Z00000X | SP7056 | CA | Primary |
Addresses
Primary practice location
11770 Bernardo Plaza CT
Suite 208
San Diego, CA 92128-2422
Mailing address
11770 Bernardo Plaza CT
Suite 208
San Diego, CA 92128-2422
Phone (858) 451-2757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP0070560 | Medicaid | CA |
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 |
|---|---|---|---|
| SP7056 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eloise R. Johnston & Associates | Speech-Language Pathologist | 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
- San Diego, CA
- NPI 1457351439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1740442839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11770 BERNARDO PLAZA CT",
"address_2": "SUITE 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282422",
"telephone_number": "858-451-2757",
"fax_number": "858-451-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11770 BERNARDO PLAZA CT",
"address_2": "SUITE 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282422",
"telephone_number": "858-451-2757",
"fax_number": "858-451-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORNOUT",
"first_name": "CLAUDIA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP7056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP0070560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.