Individual provider Active NPI

Olivia Spinosa

  • Speech-Language Pathologist
  • Walnut Creek, CA
National Provider Identifier
1053199471
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18218 Issued in CA
Practice address
675 Ygnacio Valley Rd Ste B212
Walnut Creek, CA 94596-8209
Phone
(510) 250-9199
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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 18218 CA Primary

Addresses

Primary practice location

675 Ygnacio Valley Rd Ste B212
Walnut Creek, CA 94596-8209

Mailing address

2731 Barlow Dr
Castro Valley, CA 94546-3207
Phone (203) 814-9606

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
18218CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Bridges Speech Pathology Inc Speech-Language Pathologist PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 1

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1053199471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 BARLOW DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945463207",
            "telephone_number": "203-814-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD STE B212",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968209",
            "telephone_number": "510-250-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINOSA",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.