Lisa Pederson, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

2096 Issued in CA

Practice address

418 E Vanderbilt Way
San Bernardino, CA 92408-3552

Phone

(909) 373-1641

NPI assigned

Aug 28, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Horizon Therapy Services

  • Occupational Therapist
  • San Bernardino, CA
  • NPI 1588272066
  NPD
• Horizon Therapy Services

  • Physical Therapist
  • Rancho Cucamonga, CA
  • NPI 1679524391
  NPD (past)

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1801775333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 LEMON AVE APT 1401",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917376958",
            "telephone_number": "909-519-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E VANDERBILT WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083552",
            "telephone_number": "909-373-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "LISA",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "2096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peacock Desert Rose Services Limited
• Elsa Olivia Pearce
• Charles Pearson, MFTI
• Pearsons Medical Group Pharmacy
• Pearsons Medical Group Pharmacy
• Pediatric Cardiology Specialists Medical Group Inc
• Keanna M Pedroza
• Sandra Peeke, FNP
• Geovanny Pelayo
• Erika Pena

• Speech-Language Assistant in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.