Active NPI
Tricia Martin, SLPA
- Speech-Language Assistant
- Mission Viejo, CA
National Provider Identifier
1982980728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 1734
- Practice address
- 23361 Madero
Suite 200
Mission Viejo, CA 92691-2715 - Phone
- (949) 581-8239
- Fax
- (949) 859-0849
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | 1734 | CA | Primary |
Addresses
Primary practice location
23361 Madero
Suite 200
Mission Viejo, CA 92691-2715
Mailing address
4041 Via Ingresso
Cypress, CA 90630-3433
Phone (949) 581-8239
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 |
|---|---|---|---|
| 1734 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1982980728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 VIA INGRESSO",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303433",
"telephone_number": "949-581-8239",
"fax_number": "949-859-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23361 MADERO",
"address_2": "SUITE 200",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912715",
"telephone_number": "949-581-8239",
"fax_number": "949-859-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TRICIA",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "1734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.