Amerind Sugiarto, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

25054 Issued in CA

Practice address

7466 Aster CT
Pleasanton, CA 94588-4801

Phone

(925) 209-4880

NPI assigned

Feb 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1043758071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7466 ASTER CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884801",
            "telephone_number": "925-209-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7466 ASTER CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884801",
            "telephone_number": "925-209-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIARTO",
        "first_name": "AMERIND",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Stuart
• Rosemary Su, MA
• Chandni Ayushyaman Suba, P.T.
• Nida Subhani, MD
• Ryan Suen, DC
• Kumar Sukhdeo, M.D., PH.D.
• Kyle Patrick Sullivan, C.O
• Lynne Ann Sullivan, D.C.
• Marie De la Paz Sum, PSY.D.
• Summit Surgery Center LLC

• Speech-Language Pathologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.