Individual provider Active NPI

Brenna Lindleaf

  • Speech-Language Pathologist
  • Garden Grove, CA
National Provider Identifier
1912413899
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP25496 Issued in CA
Practice address
12062 Valley View St Ste 137
Garden Grove, CA 92845-1741
Phone
(714) 901-1518
Fax
(714) 901-1359
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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 SP25496 CA Primary

Addresses

Primary practice location

12062 Valley View St Ste 137
Garden Grove, CA 92845-1741

Mailing address

12062 Valley View St Ste 137
Garden Grove, CA 92845-1741
Phone (714) 901-1518

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

LicenseStateTypeSpecialty
SP25496CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1912413899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST STE 137",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451741",
            "telephone_number": "714-901-1518",
            "fax_number": "714-901-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST STE 137",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451741",
            "telephone_number": "714-901-1518",
            "fax_number": "714-901-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDLEAF",
        "first_name": "BRENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP25496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.