Edna Waggoner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP5954 Issued in CA

Practice address

16052 Beach Blvd Ste 215
Huntington Beach, CA 92647-3853

Phone

(714) 916-0641

NPI assigned

Dec 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orange County Speech Services

  • Speech-Language Assistant
  • Huntington Beach, CA
  • NPI 1700280864
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1972901742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N SINGINGWOOD ST UNIT 24",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16052 BEACH BLVD STE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473853",
            "telephone_number": "714-916-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "EDNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP5954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Vuong, PA-C
• Kim Thien Vuong
• Mandy Huynh Vuong, DDS
• Cyndi Binh Vuu
• Marianne Wade, R.N.
• Emily Wagner
• Lucille Marie Wagner, P.T.
• Rachel Wagner
• Jan Louise Wagniere, LCSW, MFC
• Krista Wagnon, LPCC

• Speech-Language Pathologist in Huntington Beach, CA
• Providers in Huntington Beach, 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 Dec 10, 2014; 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.