PROVIDENCE SPEECH & HEARING CENTER NPI 1215993704

NPI Information

  • NPI: 1215993704
  • Provider Name: PROVIDENCE SPEECH & HEARING CENTER
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Other Name: PROVIDENCE SPEECH AND HEARING CENTER
  • Address: 1301 W PROVIDENCE AVE
    ORANGE, CA
    ZIP 92868
  • Phone: (714) 639-4990

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NPI Details

PROVIDENCE SPEECH & HEARING CENTER is a speech language pathologist in Orange, CA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. PROVIDENCE SPEECH & HEARING CENTER NPI is 1215993704. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Providence Speech And Hearing Center.

The provider's business location address is:

1301 W PROVIDENCE AVE
ORANGE, CA
ZIP 92868-808
Phone: (714) 639-4990
Fax: (714) 744-3841

The provider's authorized official is Mariam Elqura .
The authorized official title is Contract Manager and has the following contact phone number (714) 509-3000.

The enumeration date for this NPI number is 4/24/2006 and was last updated on 10/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3231H00000XAudiologistCALIFORNIANo
4237700000XHearing Instrument SpecialistCALIFORNIANo
5252Y00000XEarly Intervention Provider AgencyNo
6235Z00000XSpeech-Language PathologistCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ01182ZOTHERCALIFORNIABLUE SHIELD SPEECH
2GAU000910MEDICAIDCALIFORNIA
3ZZZ05424ZOTHERCALIFORNIABLUE SHIELD OT
4GSP000640MEDICAIDCALIFORNIA
5ZZZ02320ZOTHERCALIFORNIABLUE SHIELD AUDIO
6ZZZ43525ZOTHERCALIFORNIABLUE SHIELD HEARING AID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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