Individual provider Active NPI

Reina Carmona Chavez

  • Speech-Language Pathologist
  • Fair Oaks, CA
National Provider Identifier
1134819725
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
Cornerstone Speech Services
5200 Sunrise Blvd Suite 5
Fair Oaks, CA 95628
Phone
(916) 827-0138
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 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 CA Primary

Addresses

Primary practice location

Cornerstone Speech Services
5200 Sunrise Blvd Suite 5
Fair Oaks, CA 95628

Mailing address

609 Capitol Mall Unit 811
Sacramento, CA 95814-4788
Phone (323) 854-0272

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Speech Services, Inc. Speech-Language Pathologist CurrentSince May 14, 2023 Accepting new patients

Locations

5200 Sunrise Blvd
Ste 5
Fair Oaks, CA 95628
Phone (916) 827-0138

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1134819725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CAPITOL MALL UNIT 811",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958144788",
            "telephone_number": "323-854-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNERSTONE SPEECH SERVICES",
            "address_2": "5200 SUNRISE BLVD SUITE 5",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-827-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMONA CHAVEZ",
        "first_name": "REINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.