Active NPI
Kiana Sadrieh, M.A., CCC-SLP
- Speech-Language Pathologist
- Oceanside, CA
National Provider Identifier
1124365176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21311
- Practice address
- 3355 Mission Ave
123
Oceanside, CA 92058-1326 - Phone
- (760) 529-4975
- Fax
- (760) 529-4761
- NPI assigned
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 21311 | CA | Primary |
Addresses
Primary practice location
3355 Mission Ave
123
Oceanside, CA 92058-1326
Mailing address
5222 Balboa Ave
42
San Diego, CA 92117-6904
Phone (619) 761-2479
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)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maram F Zakko, MD Inc | Past | 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.
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- Escondido, CA
- NPI 1497816912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1124365176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 BALBOA AVE",
"address_2": "42",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176904",
"telephone_number": "619-761-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 MISSION AVE",
"address_2": "123",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581326",
"telephone_number": "760-529-4975",
"fax_number": "760-529-4761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADRIEH",
"first_name": "KIANA",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "21311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.