Active NPI
Speech Pathology Services
- Speech-Language Pathologist
- Temecula, CA
National Provider Identifier
1992853113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP4814
- Legal business name
- SPEECH PATHOLOGY SERVICES
- Practice address
- 31935 Calle Espinosa
Temecula, CA 92592-3743 - Phone
- (951) 303-9422
- Fax
- (951) 303-9432
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia Janean Young, MA
- Title
- Owner
- Phone
- (951) 303-9422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP4814 | CA | Primary |
Addresses
Primary practice location
31935 Calle Espinosa
Temecula, CA 92592-3743
Mailing address
31935 Calle Espinosa
Temecula, CA 92592-3743
Phone (951) 303-9422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2064835 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Temecula, CA
- NPI 1184780314
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1992853113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31935 CALLE ESPINOSA",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925923743",
"telephone_number": "951-303-9422",
"fax_number": "951-303-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31935 CALLE ESPINOSA",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925923743",
"telephone_number": "951-303-9422",
"fax_number": "951-303-9432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH PATHOLOGY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "JANEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-303-9422",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP4814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2064835",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.