Individual provider Active NPI

Sara Grant

  • Speech-Language Pathologist
  • Irvine, CA
National Provider Identifier
1982223962
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
27449 Issued in CA
Practice address
5050 Barranca Pkwy
Irvine, CA 92604-4652
Phone
(949) 936-5000
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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 27449 CA Primary

Addresses

Primary practice location

5050 Barranca Pkwy
Irvine, CA 92604-4652

Mailing address

Iusd 5050 Barranca Parkway
Irvine, CA 92604
Phone (949) 936-7744

Other practice location 1

University High School
4771 Campus Dr
Irvine, CA 92612-9261
Phone (949) 936-7744

Other practice location 2

122 Santa Louisa
Irvine, CA 92606-8853
Phone (949) 910-0483

Other names 1

  • Sara Shepherd Former name

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
27449CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1982223962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "IUSD 5050 BARRANCA PARKWAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-936-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044652",
            "telephone_number": "949-936-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University High School",
            "address_2": "4771 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926129261",
            "country_code": "US",
            "telephone_number": "949-936-7744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Santa Louisa",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926068853",
            "country_code": "US",
            "telephone_number": "949-910-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SHEPHERD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.