Organization Active NPI

Tiny Tides Speech Therapy PC

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1780475483
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TINY TIDES SPEECH THERAPY PC
Practice address
7220 Trade St Ste 126
San Diego, CA 92121-2367
Phone
(267) 231-6703
NPI assigned
May 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Chelsea LevinNPI 1851803381
Title
Ceo/Speech Language Pathologist
Phone
(267) 231-6703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

7220 Trade St Ste 126
San Diego, CA 92121-2367

Mailing address

4271 Aloha PL
San Diego, CA 92103-1101

National Provider Directory

National Provider Directory

Locations

7220 Trade St
Ste 126
San Diego, CA 92121
Phone (267) 231-6703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1780475483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 ALOHA PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 TRADE ST STE 126",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212367",
            "telephone_number": "267-231-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY TIDES SPEECH THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "CEO/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "267-231-6703"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 14, 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.