Active NPI
Randi Wasano, M.A., CCC-SLP
- Speech-Language Pathologist
- Santa Ana, CA
National Provider Identifier
1790008183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18100
- Practice address
- 1601 E Saint Andrew PL
Santa Ana, CA 92705-4932 - Phone
- (714) 361-6200
- Fax
- (714) 361-6220
- NPI assigned
- Mar 12, 2010
- 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 | 18100 | CA | Primary |
Addresses
Primary practice location
1601 E Saint Andrew PL
Santa Ana, CA 92705-4932
Mailing address
1601 E Saint Andrew PL
Santa Ana, CA 92705-4932
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1790008183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E SAINT ANDREW PL",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927054932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E SAINT ANDREW PL",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927054932",
"telephone_number": "714-361-6200",
"fax_number": "714-361-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASANO",
"first_name": "RANDI",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-12",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "18100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.