Active NPI
Jersey Reyes Tamunda
- Speech-Language Pathologist
- San Jose, CA
National Provider Identifier
1023770856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 37886
- Practice address
- 120 Jose Figueres Ave
San Jose, CA 95116-1528 - Phone
- (408) 272-1400
- NPI assigned
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 37886 | CA | Primary |
Addresses
Primary practice location
120 Jose Figueres Ave
San Jose, CA 95116-1528
Mailing address
1101 S Winchester Blvd # B-1101
San Jose, CA 95128-3901
Phone (408) 484-1028
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37886 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1023770856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S WINCHESTER BLVD # B-1101",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283901",
"telephone_number": "408-484-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 JOSE FIGUERES AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161528",
"telephone_number": "408-272-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMUNDA",
"first_name": "JERSEY",
"middle_name": "REYES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-08",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "37886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.