| Providence Speech And Hearing Center | |
|
1301 W Providence Ave, Orange, CA 92868-3808 | |
| (714) 639-4990 | |
| (714) 744-3841 |
| Full Name | Providence Speech And Hearing Center |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1301 W Providence Ave, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215993704 | NPI | - | NPPES |
| ZZZ01182Z | Other | CA | BLUE SHIELD SPEECH |
| GAU000910 | Medicaid | CA | |
| ZZZ05424Z | Other | CA | BLUE SHIELD OT |
| GSP000640 | Medicaid | CA | |
| ZZZ02320Z | Other | CA | BLUE SHIELD AUDIO |
| ZZZ43525Z | Other | CA | BLUE SHIELD HEARING AID |
| Provider Name | Mika Moore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114049285 PECOS PAC ID: 5991767022 Enrollment ID: I20041101001036 |
| Provider Name | Ashlee L Pixley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619164738 PECOS PAC ID: 9931298510 Enrollment ID: I20071204000794 |
| Provider Name | Lanchi Vu Kim |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629006234 PECOS PAC ID: 5698865145 Enrollment ID: I20071220000267 |
| Provider Name | Robyn L Belz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245307859 PECOS PAC ID: 8224177597 Enrollment ID: I20091125000459 |
| Provider Name | Norma P Camacho |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669596631 PECOS PAC ID: 0345407581 Enrollment ID: I20120131000516 |
| Provider Name | Le Etta L Vanderpool |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508935594 PECOS PAC ID: 2769645373 Enrollment ID: I20120517000694 |
| Provider Name | Loretta Y Lee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083981591 PECOS PAC ID: 4880857499 Enrollment ID: I20120518000080 |
| Provider Name | Kym K N Asahara |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699834101 PECOS PAC ID: 5597928093 Enrollment ID: I20120521000354 |
| Provider Name | Cindy C Walsh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700945292 PECOS PAC ID: 7012170525 Enrollment ID: I20120521000382 |
| Provider Name | Nancy E Pohlot |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386711075 PECOS PAC ID: 4385808005 Enrollment ID: I20120608000549 |
| Provider Name | Amy E Marshall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174751705 PECOS PAC ID: 0345494092 Enrollment ID: I20130204000419 |
| Provider Name | Phyllis N Herring |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720147234 PECOS PAC ID: 4183869100 Enrollment ID: I20130322000271 |
| Provider Name | Lori Velji Wagner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467707968 PECOS PAC ID: 7618112368 Enrollment ID: I20130328000359 |
| Provider Name | Stephani M Rose |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144660101 PECOS PAC ID: 7315180452 Enrollment ID: I20130821000601 |
| Provider Name | Lisa A Cummings |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487881157 PECOS PAC ID: 2062656119 Enrollment ID: I20130911000891 |
| Provider Name | Kristi A Petersen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548515406 PECOS PAC ID: 2365671583 Enrollment ID: I20140211001892 |
| Provider Name | Janis S Uffenheimer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629275516 PECOS PAC ID: 3678703741 Enrollment ID: I20140311001776 |
| Provider Name | Shannon M Ricci |
|---|---|
| Provider Type | Practitioner - Single Or Multispecialty Clinic Or Group Practice |
| Provider Identifiers | NPI Number: 1669702379 PECOS PAC ID: 9739341116 Enrollment ID: I20140325001367 |
| Provider Name | Kristi L Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891127072 PECOS PAC ID: 8325267883 Enrollment ID: I20140915001996 |
| Provider Name | Michael N Shehata |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659654440 PECOS PAC ID: 0446471817 Enrollment ID: I20141028002304 |
| Provider Name | Angela N M Vu |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043623291 PECOS PAC ID: 7214255512 Enrollment ID: I20150417000051 |
| Provider Name | Melinda S Chan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457730319 PECOS PAC ID: 6103135793 Enrollment ID: I20151021003188 |
| Provider Name | Laura S Rhee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386051464 PECOS PAC ID: 1355651787 Enrollment ID: I20151113001620 |
| Provider Name | Darcy E Healey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053609164 PECOS PAC ID: 0941502116 Enrollment ID: I20160105001190 |
| Provider Name | Samantha J Nieves |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225402662 PECOS PAC ID: 1153610803 Enrollment ID: I20160519000054 |
| Provider Name | Christine M Rodriguez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275941346 PECOS PAC ID: 4385933845 Enrollment ID: I20160523001901 |
| Provider Name | Steve J Liu |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619336336 PECOS PAC ID: 1658663554 Enrollment ID: I20160713002660 |
| Provider Name | Brianna M Chai |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861845497 PECOS PAC ID: 6709172141 Enrollment ID: I20160909002355 |
| Provider Name | Samantha L Mccomb |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104005289 PECOS PAC ID: 9739467085 Enrollment ID: I20161020002431 |
| Provider Name | Chloe Elizabeth Robbins |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063998557 PECOS PAC ID: 9537404363 Enrollment ID: I20181221001560 |
| Provider Name | Gladys Diaz-garcia |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619320330 PECOS PAC ID: 8022354836 Enrollment ID: I20190116001499 |
| Provider Name | Jenise Imani Chappell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790270270 PECOS PAC ID: 2466797576 Enrollment ID: I20191231000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Speech And Hearing Center 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (714) 509-3000 | Providence Speech And Hearing Center 1301 W Providence Ave, Orange, CA 92868-3808 Ph: (714) 639-4990 |
Mrs. Ayren Ellen Dreyer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Janelle Briana Cubas, B.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Summer Gingrich, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Patricia Marie Rossi, T-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-923-1527 Fax: 714-639-2282 | |
Sarah Kim Chang, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 S Flower St Ste 100, Orange, CA 92868 Phone: 714-683-5876 | |
Yomna Elsiddig, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Tracy Morillo, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 |