Individual provider Active NPI

Andrea Ruth Dacumos Batilaran, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Placentia, CA
National Provider Identifier
1881412963
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
37625 Issued in CA
Practice address
740 S Placentia Ave
Placentia, CA 92870-6832
Phone
(714) 646-8318
Fax
(714) 455-3656
NPI assigned
Sep 28, 2024
Last updated
Sep 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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 37625 CA Primary

Addresses

Primary practice location

740 S Placentia Ave
Placentia, CA 92870-6832

Mailing address

13858 Laurelwood Ave
Eastvale, CA 92880-9032
Phone (909) 813-3780

Other names 1

  • Andrea Ruth Dela Cruz Dacumos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807000885 HI Practitioner - Qualified Speech Language Pathologist 3577061829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC Speech-Language Pathologist CurrentSince May 24, 2025 Accepting new patients
Speech Pathology of Hawaii LLC Speech-Language Pathologist CurrentSince May 24, 2025 Accepting new patients

Locations

725 Kapiolani Blvd
Ste C206
Honolulu, HI 96813
Phone (808) 596-0099

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1881412963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13858 LAURELWOOD AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809032",
            "telephone_number": "909-813-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706832",
            "telephone_number": "714-646-8318",
            "fax_number": "714-455-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATILARAN",
        "first_name": "ANDREA RUTH",
        "middle_name": "DACUMOS",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "37625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA RUTH",
            "last_name": "DACUMOS",
            "middle_name": "DELA CRUZ",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.