Michelle T Edpao

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

5720 Stoneridge Mall Rd
#390
Pleasanton, CA 94588-2828

Phone

(925) 847-7825

NPI assigned

May 12, 2008

Last updated

Dec 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1245407956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 MC LARREN CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945507192",
            "telephone_number": "708-646-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 STONERIDGE MALL RD",
            "address_2": "#390",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882828",
            "telephone_number": "925-847-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDPAO",
        "first_name": "MICHELLE",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Bay Retina Consultants a Medical Group, Inc. (East Bay Retina Consultants, Inc.)
• East Bay Spine Specialists Inc a Medical Corporation (Northern California Spine Institute)
• East Bay Surgery Center (Pleasanton Surgery Center)
• Ebenezer Hospice Care Inc
• Kathryn C. Econome, MD
• Dyke F. Edwards, MD
• Barbara T. Egan, M.D.
• Adesua Eichie, PHARMD
• Laura Michelle Eklund, LCSW
• Joseph Dominic Elia, MD

• Speech-Language Pathologist in Pleasanton, CA
• Providers in Pleasanton, 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 Dec 15, 2016; 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.