Active NPI
Chimezie Chidi, M.A.,CCC-SLP
- Speech-Language Pathologist
- Brentwood, CA
National Provider Identifier
1134512247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13352
- Practice address
- 201 Sand Creek Rd Ste G4
Brentwood, CA 94513-2124 - Phone
- (925) 759-6519
- NPI assigned
- Mar 13, 2015
- 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 | 13352 | CA | Primary |
Addresses
Primary practice location
201 Sand Creek Rd Ste G4
Brentwood, CA 94513-2124
Mailing address
PO Box 165
Brentwood, CA 94513-0165
Phone (925) 759-6519
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13352 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1134512247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 165",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945130165",
"telephone_number": "925-759-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SAND CREEK RD STE G4",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132124",
"telephone_number": "925-759-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIDI",
"first_name": "CHIMEZIE",
"credential": "M.A.,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-13",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "13352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.