Sandra Elizabeth Andres Mejia

Individual provider Active NPI Speech-Language Assistant · Apple Valley, CA

NPI 1780411595 · NPPES record last updated Sep 16, 2024

Key facts

NPI
1780411595
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
4286 (CA)
Practice address
18270 Siskiyou Rd Ste B
Apple Valley, CA 92307-1413
Phone
(760) 991-3020
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4286CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Therapeutic Services, Inc. Current
since Sep 23, 2024
Accepting new patients

Locations

18270 Siskiyou Rd
#B
Apple Valley, CA 92307
Phone (760) 912-8851

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4286 CA Yes

Addresses

Primary practice location

18270 Siskiyou Rd Ste B
Apple Valley, CA 92307-1413

Mailing address

12020 Honey Oak CT
Victorville, CA 92392-1216
Phone (323) 706-2810

Other providers in Apple Valley, CA

All providers in Apple Valley, CA · Speech-Language Assistant in California

Sources for this page

Verify at the official NPI Registry.