SHINING STARS (NPI# 1114385648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114385648 |
| Entity Type | Organization |
| Organization Name | SHINING STARS |
| Practice Address |
17215 Studebaker Rd. #180 Cerritos CA 90703 |
| Practice Telephone | 5627046791 |
| Practice Fax Number | 5627046783 |
| Mailing Telephone | (562) 704-6791 |
| Mailing Fax Number | 5627046783 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | JULIA YI (OWNER, M.S./CCC-SLP) |
| Authorized Official Telephone | 5627046791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP 21934 | CA | Speech, Language and Hearing Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SHINING STARS ABA LLC | 67 Chapman St, Newington, CT 06111 |
| New York State Corporations | SHINING STARS CAPITAL MANAGEMENT LLC | 1 Popular Avenue, Farmingdale, New York 11735 |
| Connecticut Business Registrations | SHINING STARS CHILD CARE, LLC | 40 Pearl Avenue, Hamden, CT 06514 |
| Iowa Business Entities | SHINING STARS CHILD DEVELOPMENT CENTER II, INC. | 5400 Jennifer Drive, Pleasant Hill, IA 50327 |
| Iowa Business Entities | SHINING STARS CHILD DEVELOPMENT CENTER III, INC. | 4850 E University Avenue, Pleasant Hill, IA 50327 |
| Colorado Business Entities | Shining Stars Childcare, LLC | 887 Sagebrush Drive, Lochbuie, CO 80603 |
| Indiana Business Entities | SHINING STARS COOPERATIVE PRESCHOOL, INC. | 1500 W. 86th, Indianapolis, IN 46280 |
| Colorado Business Entities | Shining Stars Daycare LLC | 4850 Silverwood Drive, Johnstown, CO 80534 |
| Connecticut Business Registrations | SHINING STARS DAYCARE, LLC | 7 Gordon Street, 7 Gordon St, 7 Gordon St, Norwalk, CT 06850 |
| Colorado Business Entities | SHINING STARS FOUNDATION | Phys Add:408 Gerbaz Bridge Rd, Snowmass, CO 81654 |
| Street Address |
17215 STUDEBAKER RD. #180 |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235344961 | Rae Star Health Systems, Inc. | Home Health | 17215 Studebaker Rd., Suite 175, Cerritos, CA 90703-2556 | 2007-05-14 |
| 1154721223 | Julia J. Yi | Speech-Language Pathologist | 17215 Studebaker Rd., #180, Cerritos, CA 90703 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245575828 | Lisa Marie Burrows | Speech-Language Pathologist | 11360 183rd Street, Cerritos, CA 90703 | 2012-12-07 |
| 1205170453 | Mabel Dizon De Leon | Speech-Language Pathologist | 11360 183rd St., Cerritos, CA 90703 | 2012-11-11 |
| 1619036191 | Christine Otaguro | Speech-Language Pathologist | 11337 183rd St, Cerritos, CA 90703-5434 | 2006-12-08 |
| 1750755120 | Ryan Cordova | Speech-Language Pathologist | 11360 183rd St, Cerritos, CA 90703-5419 | 2015-11-21 |
| 1154721223 | Julia J. Yi | Speech-Language Pathologist | 17215 Studebaker Rd., #180, Cerritos, CA 90703 | 2014-08-26 |
| 1235563628 | Melissa Marye Powell | Speech-Language Pathologist | 11360 183rd St, Cerritos, CA 90703-5419 | 2013-08-21 |
| 1891127072 | Kristi Lauren Nicole Williams | Speech-Language Pathologist | 11360 183rd St, Cerritos, CA 90703-5419 | 2013-07-30 |
| 1821310954 | Maria Kristina Story | Speech-Language Pathologist | 16700 Norwalk Blvd, Cerritos, CA 90703-1838 | 2010-02-16 |
| 1699834101 | Kym K.n. Asahara | Speech-Language Pathologist | 11360 183rd St, Cerritos, CA 90703-5419 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427459 | Leigh Marian Pearce | Speech-Language Pathologist | 1208 Peninsula Dr, Chico, CA 95928-3827 | 2020-11-03 |
| 1225638844 | Nicci Michele Grayson | Speech-Language Pathologist | 2653 E Glenoaks Blvd, Glendale, CA 91206-3108 | 2020-11-01 |
| 1992305544 | Katrina Schickenberg | Speech-Language Pathologist | 715 Emeline Ave, Santa Cruz, CA 95060-1911 | 2020-10-31 |
| 1780284539 | Annalissa Ramos-garcia | Speech-Language Pathologist | 2575 33rd St Apt 4, Sacramento, CA 95817-1941 | 2020-10-30 |
| 1770183626 | Dina Kamionski | Speech-Language Pathologist | 10592 Wilkins Ave, Los Angeles, CA 90024-6033 | 2020-10-29 |
| 1932709953 | Lera A Chernov | Speech-Language Pathologist | 4243 Bonita Rd Apt 60, Bonita, CA 91902-1441 | 2020-10-28 |
| 1689274979 | Carolyn Lamar Maxwell | Speech-Language Pathologist | 2660 Oswell St Ste 121, Bakersfield, CA 93306-3154 | 2020-10-27 |
| 1407455330 | Tyonie Patterson | Speech-Language Pathologist | 7845 Stewart and Gray Rd Apt 12, Downey, CA 90241-4771 | 2020-10-21 |
| 1144829433 | Anne Mathew | Speech-Language Pathologist | 2262 N 1st St, San Jose, CA 95131-2022 | 2020-10-19 |
| 1972102259 | Cinthia Yong-joo Do | Speech-Language Pathologist | 6670 Alton Pkwy Bldg 1, Irvine, CA 92618-3734 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.