LYDA KONGSWANGWONGSA
NPI 1891183422
Speech-Language Pathologist in Orange, CA

Active since January 05, 2015Accepts Medicare Assignment
547 W MAPLE AVE, ORANGE, CA 92868(909) 636-8125 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lyda Kongswangwongsa NPPES

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

LYDA KONGSWANGWONGSA (NPI 1891183422) is an individual speech-language pathologist provider in Orange, California, licensed in California (21847) and active in the NPI registry since January 2015. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1891183422
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLYDA KONGSWANGWONGSA
Location Address547 W MAPLE AVEOrange, CA 92868-2209
Mailing Address547 W Maple AveOrange, CA 92868-2209 · (909) 636-8125
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 5, 2015
✔ NPI 1891183422 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 · 21847
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.
547 W MAPLE AVE, Orange, CA 92868

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lyda Kongswangwongsa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294156816
PECOS Enrollment IDI20200623001492

Medicare Billing Reassignment

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

Speech-Language Pathologist
5475 E LA PALMA AVE STE 206
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
136 services14 patients

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 Lyda Kongswangwongsa's NPI number?

The NPI number for Lyda Kongswangwongsa is 1891183422. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Lyda Kongswangwongsa located?

Lyda Kongswangwongsa practices at 547 W Maple Ave, Orange, CA 92868. The listed phone number is (909) 636-8125.

What is Lyda Kongswangwongsa's specialty?

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

Is Lyda Kongswangwongsa enrolled in Medicare?

Yes. Lyda Kongswangwongsa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lyda Kongswangwongsa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyda Kongswangwongsa reassigns Medicare benefits to Instrumental Speech Language Pathology Professionals Inc. (Anaheim, 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 Lyda Kongswangwongsa'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 Lyda Kongswangwongsa was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.