Individual provider Active NPI

Marci Elizabeth Von Broembsen, M.S., CCC, SLP

  • Speech-Language Pathologist
  • Oakland, CA
National Provider Identifier
1205787405
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12935 Issued in CA
Practice address
4803 Lawton Ave
Oakland, CA 94609-2208
Phone
(510) 879-2115
NPI assigned
Feb 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 12935 CA Primary

Addresses

Primary practice location

4803 Lawton Ave
Oakland, CA 94609-2208

Mailing address

2021 Ygnacio Valley Rd Ste C103
Walnut Creek, CA 94598-3382
Phone (925) 945-1474

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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech Pathology Group, Inc Past Accepting new patients
Abrite, PC PastSince Jul 3, 2022 Accepting new patients

Organizations & group practices 2

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": "1770163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1205787405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD STE C103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983382",
            "telephone_number": "925-945-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 LAWTON AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092208",
            "telephone_number": "510-879-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BROEMBSEN",
        "first_name": "MARCI",
        "middle_name": "ELIZABETH",
        "credential": "M.S., CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.