TIFFANY MAI CCC-SLP
NPI 1043036940
Speech-Language Pathologist in Irvine, CA

Active since November 25, 2024
17802 SKY PARK CIR STE 104, IRVINE, CA 92614(949) 771-5881(949) 271-4904 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tiffany Mai Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY MAI CCC-SLP (NPI 1043036940) is an individual speech-language pathologist provider in Irvine, California, licensed in California (SP37908) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1043036940
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameTIFFANY MAICredential: CCC-SLP
Location Address17802 SKY PARK CIR STE 104Irvine, CA 92614-6405
Mailing Address17802 Sky Park Cir Ste 104Irvine, CA 92614-6405 · (949) 771-5881
Fax(949) 271-4904
Sole ProprietorNo
Enumeration DateNovember 25, 2024
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1043036940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · SP37908
Definition
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.
17802 SKY PARK CIR STE 104, Irvine, CA 92614

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Mai Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Mai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hearing and Speech
17802 SKY PARK CIR STE 104
Irvine, CA 92614
  • 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Hearing and Speech)
17802 SKY PARK CIR STE 104
IRVINE, CA 92614
Speech-Language Pathologist
17802 SKY PARK CIR STE 104
IRVINE, CA 92614

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 Tiffany Mai's NPI number?

The NPI number for Tiffany Mai is 1043036940. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Tiffany Mai located?

Tiffany Mai practices at 17802 Sky Park Cir Ste 104, Irvine, CA 92614. The listed phone number is (949) 771-5881.

What is Tiffany Mai's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Tiffany Mai enrolled in Medicare?

Yes. Tiffany Mai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Mai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Mai reassigns Medicare benefits to Heritage Speech Therapy Inc (Irvine, 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 Tiffany Mai'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 Tiffany Mai was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.