SKY PEDIATRIC INC. NPI 1790755064

NPI Information

  • NPI: 1790755064
  • Provider Name: SKY PEDIATRIC, INC.
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • :
  • Address: 1929 MAIN ST
    #103
    IRVINE, CA
    ZIP 92614
  • Phone: (949) 797-9007

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NPI Details

SKY PEDIATRIC, INC. is a speech language pathologist in Irvine, 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. SKY PEDIATRIC, INC. NPI is 1790755064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1929 MAIN ST
#103
IRVINE, CA
ZIP 92614-509
Phone: (949) 797-9007
Fax: (949) 797-9234

The provider's authorized official is Susan Lundblade .
The authorized official title is Administrator and has the following contact phone number (949) 797-9007.

The enumeration date for this NPI number is 1/26/2006 and was last updated on 9/11/2025.

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
12251P0200XPhysical TherapistPediatricsNo
2225XP0200XOccupational TherapistPediatricsNo
3235Z00000XSpeech-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
1ZZZ36141ZOTHERCALIFORNIABLUE SHIELD
2ZZZ65557ZOTHERCALIFORNIABLUE SHIELD

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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