JESSICA DAVALOS (NPI# 1588105787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588105787 |
Entity Type | Individual |
Full Name | JESSICA DAVALOS |
Credential | SLPA |
Practice Address |
140 S Chaparral Ct Ste 110 Anaheim CA 92808-2239 |
Practice Telephone | 7142828852 |
Mailing Telephone | 7142828852 |
Enumeration Date | 2017-03-20 |
Last Update Date | 2017-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SPA4223 | CA | Speech, Language and Hearing Service Providers |
Street Address |
140 S CHAPARRAL CT STE 110 |
City | ANAHEIM |
State | CA |
Zip Code | 92808-2239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699108100 | Jessica Haffar | Speech-Language Pathologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2013-08-20 |
1811504962 | Sarah Oconnor | Speech-Language Pathologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2020-09-23 |
1053942680 | Nicole Versales | Speech-Language Pathologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2020-02-02 |
1144709650 | Ashley Fermin | Specialist/Technologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2018-08-07 |
1740766476 | Julie Giles | Speech-Language Pathologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2018-07-16 |
1487161493 | Camille Germaine Garchitorena Hernandez | Specialist/Technologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2017-12-29 |
1982129920 | Megan Suzanne Humble | Specialist/Technologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2017-08-10 |
1841743952 | Ann Strozier | Speech-Language Pathologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2016-07-26 |
1780037598 | Lori Carso | Specialist/Technologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2016-07-16 |
1992171102 | Taryn Plachy | Specialist/Technologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2015-08-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861970378 | Rebeca Martinez-higareda | Specialist/Technologist | 140 S. Chaparral Ct., Suite 110, Anaheim Hills, CA 92808 | 2018-08-06 |
1558875450 | Latshikyan Dental Corporation | Dentist | 8162 E Santa Ana Canyon Rd Suite 104, Anahein, CA 92808 | 2017-11-30 |
1083153266 | Jennifer Becker | Social Worker | 1368 S Country Glen Way, Anaheim, CA 92808 | 2017-02-21 |
1235573304 | Suzanne Renee Molera | Specialist/Technologist | 160 Old Springs Rd., Ste. 100, Anaheim Hills Speech and Language Center, Anaheim Hills, CA 92808 | 2013-04-19 |
1346559317 | Bernadette Pamulo Gonzales | Nurse Practitioner | 197 N. Mohler Drive, Anaheim Hills, CA 92808 | 2010-09-24 |
1437485653 | Rebecca M. Maravilla, Od, Inc. | Optometrist | 781 S. Weir Canyon Road, Suite 195, Anaheim, CA 92808 | 2009-10-22 |
1710142153 | Chris T Nguyen | Dentist | 911 South Brianna Way, Anaheim, CA 92808 | 2008-07-24 |
1619174331 | Raymond Warner | Social Worker | 1900 E. 4th Street, 2nd Floor, Anaheim, CA 92808 | 2007-06-27 |
1437271582 | Rebecca Marcia Maravilla | Optometrist | 781 S Weir Canyon Road, Suite 195, Anaheim Hills, CA 92808 | 2007-04-06 |
1649327412 | Kimberlee Anne Anne Green | Counselor | 120 S. Fairmont Blvd., Anaheim, CA 92808 | 2007-01-04 |
Find all providers in zip 92808 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447763065 | Zeferino Andrew Tirado | Specialist/Technologist | 400 S Sunkist St Apt 93, Anaheim, CA 92806-4244 | 2017-11-06 |
1730532847 | Layla Gonzalez | Specialist/Technologist | 1815 E Bassett Way, Anaheim, CA 92805-5711 | 2016-07-13 |
1972101459 | Allison Mayorga | Specialist/Technologist | 1360 S Anaheim Blvd Ste 150, Anaheim, CA 92805-6205 | 2020-10-15 |
1003449570 | Eliana Aguayo Morales | Specialist/Technologist | 1360 S Anaheim Blvd Ste 150, Anaheim, CA 92805-6205 | 2020-02-12 |
1225660053 | Kelly Han | Specialist/Technologist | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2020-02-10 |
1508414160 | Annmarie Gomez | Specialist/Technologist | 1360 S Anaheim Blvd Ste 150, Anaheim, CA 92805-6205 | 2019-08-27 |
1881249407 | Caroline Do | Specialist/Technologist | 1360 S Anaheim Blvd, Anaheim, CA 92805-6205 | 2019-08-09 |
1346710555 | Joann Hyungjoo Lee | Specialist/Technologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2018-11-30 |
1033686811 | Lauren Ybarra | Specialist/Technologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2018-10-30 |
1144709650 | Ashley Fermin | Specialist/Technologist | 140 S Chaparral Ct Ste 110, Anaheim, CA 92808-2239 | 2018-08-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.