Active NPI
Marisa Calderon Sherman
- Speech-Language Pathologist
- Anaheim, CA
National Provider Identifier
1851571137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP16090
- Practice address
- 1125 N Magnolia Ave
Suite 110
Anaheim, CA 92801-2638 - Phone
- (714) 484-1280
- NPI assigned
- Nov 5, 2007
- 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 | SP16090 | CA | Primary |
Addresses
Primary practice location
1125 N Magnolia Ave
Suite 110
Anaheim, CA 92801-2638
Mailing address
1125 N Magnolia Ave
Suite 110
Anaheim, CA 92801-2638
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP16090 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1851571137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 N MAGNOLIA AVE",
"address_2": "SUITE 110",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N MAGNOLIA AVE",
"address_2": "SUITE 110",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012638",
"telephone_number": "714-484-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "MARISA",
"middle_name": "CALDERON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP16090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.