Active NPI
Elaina Marrujo, M.A. CCC-SLP
- Speech-Language Pathologist
- Newport Beach, CA
National Provider Identifier
1770985491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19532
- Practice address
- 1300 Park Newport
#206
Newport Beach, CA 92660-5008 - Phone
- (949) 307-6562
- NPI assigned
- Sep 25, 2014
- 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 | 19532 | CA | Primary |
Addresses
Primary practice location
1300 Park Newport
#206
Newport Beach, CA 92660-5008
Mailing address
1300 Park Newport
#206
Newport Beach, CA 92660-5008
Phone (949) 307-6562
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19532 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1770985491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PARK NEWPORT",
"address_2": "#206",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605008",
"telephone_number": "949-307-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 PARK NEWPORT",
"address_2": "#206",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605008",
"telephone_number": "949-307-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRUJO",
"first_name": "ELAINA",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "19532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.