Mei-Ling Revchuk, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19599 Issued in CA

Practice address

18693 E Cavendish Dr
Castro Valley, CA 94552-1718

Phone

(909) 919-3063

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mei-Ling Martinez Former name

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1073245072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18693 E CAVENDISH DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945521718",
            "telephone_number": "909-919-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18693 E CAVENDISH DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945521718",
            "telephone_number": "909-919-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVCHUK",
        "first_name": "MEI-LING",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEI-LING",
            "last_name": "MARTINEZ",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Reichert, D.C., B.S.
• Trinity Reid
• Christina Ann Reilley, OTD
• Reliance Transportation LLC
• Kathryn Repka, M.S. CCC-SLP
• Mridula Rewal, MD
• Michelle Reyes-Neil, LCSW
• Kelsey Reynolds
• Rosemary Reynolds
• Edward Rhee, M.D.

• Speech-Language Pathologist in Castro Valley, CA
• Providers in Castro Valley, 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 Jun 28, 2022; 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.