Active NPI
Joy Ikenaga
- Speech-Language Pathologist
- Aliso Viejo, CA
National Provider Identifier
1750858155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP11970
- Practice address
- 38 Rincon Way
Aliso Viejo, CA 92656-1624 - Phone
- (714) 348-6540
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | SP11970 | CA | Primary |
Addresses
Primary practice location
38 Rincon Way
Aliso Viejo, CA 92656-1624
Mailing address
38 Rincon Way
Aliso Viejo, CA 92656-1624
Phone (714) 348-6540
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 |
|---|---|---|---|
| SP11970 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1750858155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 RINCON WAY",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561624",
"telephone_number": "714-348-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 RINCON WAY",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561624",
"telephone_number": "714-348-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKENAGA",
"first_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP11970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.