TAYLOR PECK CCC-SLP
NPI 1003391962
Speech-Language Pathologist in Long Beach, CA
About Taylor Peck Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR PECK CCC-SLP (NPI 1003391962) is an individual speech-language pathologist provider in Long Beach, California, licensed in California (SP27258) and active in the NPI registry since September 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Taylor Peck Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Taylor Peck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90807
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Taylor Peck's NPI number?
The NPI number for Taylor Peck is 1003391962. It was assigned to this individual provider in the NPPES registry on September 26, 2018.
Where is Taylor Peck located?
Taylor Peck practices at 3649 Atlantic Ave Ste C, Long Beach, CA 90807. The listed phone number is (562) 209-3254.
What is Taylor Peck's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Taylor Peck enrolled in Medicare?
Yes. Taylor Peck is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Taylor Peck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Peck reassigns Medicare benefits to Pacific Speech Therapy, Inc (Long Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Taylor Peck was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Taylor Peck, CCC-SLP · NPI 1003391962
Speech-Language Pathologist provider in Long Beach, California. Individual provider, active in the CMS NPPES registry since September 26, 2018.
## Identity
- **NPI:** 1003391962 (Entity type: Individual)
- **Enumerated:** September 26, 2018
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SP27258 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3649 ATLANTIC AVE STE C, Long Beach, CA 90807-3417
- **Phone:** (562) 209-3254
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Pacific Speech Therapy, Inc (NPI 1336854793, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003391962) · Data from the CMS NPPES public registry.