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Bianca Cannavo , MCD-CCC-SLP

Speech-Language Pathologist β€’ Irvine, CA

Active NPI 1972002780 Individual Practitioner Female Practitioner
Practice location in NPPES

1040 Wycliffe
Irvine, CA 926021222

Call 9097621465 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1040 Wycliffe

Irvine, CA 926021222

Telephone 9097621465
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Irvine, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Irvine and California

164 active clinicians are listed under Speech-Language Pathologist with a practice address in Irvine, CA (14,094 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Irvine

0% of these 164 clinicians have the CMS telehealth indicator.

1.8% of these 164 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CA 12007

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES CA 12007

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

17875 Von Karman Ave Bldg A

Irvine, CA 926146200

Phone: 9498736644

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location February 05, 2021

Registered at 1040 WYCLIFFE, IRVINE, CA 926021222 (Tel: 9097621465)

🏒
Secondary Practice Location Registered February 05, 2021

Additional practice office at 17875 Von Karman Ave Bldg A, Irvine, CA 926146200

πŸ‘€
Provider Name / Credentials Updated February 05, 2021

Recorded as BIANCA CANNAVO, MCD-CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2021

Speech-Language Pathologist (license number reported to NPPES: CA 12007)

βœ…
NPI Profile Active February 07, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2018

Registered at 17875 VON KARMAN AVE BLDG A, IRVINE, CA 926146200 (Tel: 9498736644)

πŸ“
Business Mailing Address (Initial Record) February 07, 2018

Registered at 935 CONTESSA, IRVINE, CA 926201726 (Tel: 9097621465)

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2018

Recorded as BIANCA BUSTAMANTE, MCD-SLP-INTERN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2018

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: CA 12007)

🟒
Initial NPI Registration & Enumeration February 07, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972002780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2018
Last Update: February 05, 2021
Sole Proprietor: Yes

Mailing Address

935 Contessa

Irvine, CA 926201726

Phone: 9097621465

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.