Healthcare Provider Details

I. General information

NPI: 1679401079
Provider Name (Legal Business Name): MONIQUE MONRUDEE OATES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 ORCHARD AVE
ARROYO GRANDE CA
93420-4000
US

IV. Provider business mailing address

1510 GILBERT LN
CHICO CA
95926-7140
US

V. Phone/Fax

Practice location:
  • Phone: 805-474-3000
  • Fax:
Mailing address:
  • Phone: 530-519-0735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number7932
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: