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: July 19, 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. She is a graduate of Other (2023).

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
Medical School CMSOtherGraduated 2023
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7214449776
PECOS Enrollment IDI20250621000258

Other Providers at the Same Location NPPES

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043036940, enumerated as an "individual" on November 25, 2024.

The provider is located at 17802 SKY PARK CIR STE 104 IRVINE, CA 92614 and the phone number is (949) 771-5881.

Speech-Language Pathologist with taxonomy code 235Z00000X.