Active NPI
Shunnae A Destephano, M.S., CCC-SLP
- Speech-Language Pathologist
- Oakland, CA
National Provider Identifier
1013095934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9434
- Practice address
- 5239 Claremont Ave Ste B
Oakland, CA 94618-1794 - Phone
- (510) 432-7301
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9434 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 2202006545 | VA |
Addresses
Primary practice location
5239 Claremont Ave Ste B
Oakland, CA 94618-1794
Mailing address
1336 Sherwood Dr
Concord, CA 94521-3350
Phone (510) 432-7301
Other names 1
- Shunnae Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202006545 | VA | MD | Speech-Language Pathologist |
| 9434 | CA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1013095934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 SHERWOOD DR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945213350",
"telephone_number": "510-432-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5239 CLAREMONT AVE STE B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181794",
"telephone_number": "510-432-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTEPHANO",
"first_name": "SHUNNAE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "9434",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202006545",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHUNNAE",
"last_name": "BAKER",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.