Individual provider Active NPI

Kevin Yu, SLP

  • Speech-Language Pathologist
  • Westminster, CA
National Provider Identifier
1831664549
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
14501 Magnolia St Ste 104
Westminster, CA 92683-1307
Phone
(714) 891-0080
NPI assigned
Oct 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

14501 Magnolia St Ste 104
Westminster, CA 92683-1307

Mailing address

14501 Magnolia St Ste 104
Westminster, CA 92683-1307
Phone (714) 891-0080

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
27654CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Easy Speech Pathology, Inc. CurrentSince Mar 19, 2020 Accepting new patients
Easy Speech Therapy Center Speech-Language Pathologist Past Accepting new patients

Locations

1007 E Cooley Dr
Ste 107
Colton, CA 92324
Phone (760) 837-0033

41555 Cook St
Ste 100
Palm Desert, CA 92211
Phone (760) 837-0033

75100 Mediterranean
Palm Desert, CA 92211
Phone (760) 340-9832

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1831664549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 MAGNOLIA ST STE 104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926831307",
            "telephone_number": "714-891-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 MAGNOLIA ST STE 104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926831307",
            "telephone_number": "714-891-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "KEVIN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.