NPIMap

Organization Active NPI

Newport Language and Speech Centers

  • Speech-Language Pathologist
  • Mission Viejo, CA
National Provider Identifier
1861567299
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2796 Issued in CA
Legal business name
NEWPORT LANGUAGE AND SPEECH CENTERS
Practice address
23361 Madero Ste 200
Mission Viejo, CA 92691-2715
Phone
(949) 599-0218
Fax
(949) 859-0928
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Mrs. Linda Smith
Title
Ceo
Phone
(714) 639-4990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SP2796 CA Primary

Addresses

Primary practice location

23361 Madero Ste 200
Mission Viejo, CA 92691-2715

Mailing address

1301 W Providence Ave
Orange, CA 92868-3808
Phone (714) 639-4990

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ77842ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

11337 183rd St
Cerritos, CA 90703
Phone (562) 809-2167

4811 Eureka Ave
Ste A
Yorba Linda, CA 92886
Phone (626) 428-0497

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1861567299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W PROVIDENCE AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683808",
            "telephone_number": "714-639-4990",
            "fax_number": "714-744-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23361 MADERO STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912715",
            "telephone_number": "949-599-0218",
            "fax_number": "949-859-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT LANGUAGE AND SPEECH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-639-4990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP2796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ77842Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.