Individual provider Active NPI

Yesenia Santiago-Jimenez, CF, SLP

  • Speech-Language Pathologist
  • Burlingame, CA
National Provider Identifier
1013788322
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
RPE18799 Issued in CA
Practice address
1209 Howard Ave Ste 200
Burlingame, CA 94010-4229
Phone
(650) 344-9961
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X RPE18799 CA Primary

Addresses

Primary practice location

1209 Howard Ave Ste 200
Burlingame, CA 94010-4229

Mailing address

1209 Howard Ave Ste 200
Burlingame, CA 94010-4229
Phone (650) 344-9961

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

State licenses

LicenseStateTypeSpecialty
RPE18799CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexia Mazzone and Associates Speech-Language Pathology, Inc. Speech-Language Pathologist CurrentSince Jan 21, 2024 Accepting new patients
Alexia Mazzone and Associates Speech-Language Pathology, Inc. Speech-Language Pathologist PastSince Jan 21, 2024 Accepting new patients

Locations

1209 Howard Ave
Ste 200
Burlingame, CA 94010
Phone (650) 344-9961

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1013788322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HOWARD AVE STE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104229",
            "telephone_number": "650-344-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HOWARD AVE STE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104229",
            "telephone_number": "650-344-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-JIMENEZ",
        "first_name": "YESENIA",
        "credential": "CF, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE18799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.