Southern California Speech Language Center

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SOUTHERN CALIFORNIA SPEECH LANGUAGE CENTER

Practice address

8062 Calle Carabe CT
Rancho Cucamonga, CA 91730-1903

Phone

(909) 802-0916

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasmine T McConnell, MA, CCC-SLPNPI 1447511993

Title

Owner

Phone

(909) 802-0916

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasmine McConnell

  • Speech-Language Pathologist
  • Upland, CA
  • NPI 1447511993
  NPD Authorized official

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1942877113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PIEDMONT DR",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841053",
            "telephone_number": "909-802-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8062 CALLE CARABE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301903",
            "telephone_number": "909-802-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA SPEECH LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-802-0916",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.