Active NPI
Helena Janette Pelayo
- Speech-Language Pathologist
- Wildomar, CA
National Provider Identifier
1972067163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 23824
- Practice address
- 36243 Inland Valley Dr Ste 40
Wildomar, CA 92595-9547 - Phone
- (909) 992-0943
- NPI assigned
- Jan 22, 2019
- 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 | 23824 | CA | Primary |
Addresses
Primary practice location
36243 Inland Valley Dr Ste 40
Wildomar, CA 92595-9547
Mailing address
30951 Hanover LN Apt 1409
Menifee, CA 92584-6632
Phone (951) 295-6485
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 |
|---|---|---|---|
| 23824 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1972067163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30951 HANOVER LN APT 1409",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925846632",
"telephone_number": "951-295-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36243 INLAND VALLEY DR STE 40",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925959547",
"telephone_number": "909-992-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELAYO",
"first_name": "HELENA",
"middle_name": "JANETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "23824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.