Individual provider Active NPI

Andrew Rattner, M.S., CCC-SLP

  • Speech-Language Pathologist
  • San Mateo, CA
National Provider Identifier
1245578160
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18971 Issued in CA
Practice address
39 N San Mateo Dr
Suite 6
San Mateo, CA 94401-2885
Phone
(650) 347-0110
NPI assigned
Jan 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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 18971 CA Primary

Addresses

Primary practice location

39 N San Mateo Dr
Suite 6
San Mateo, CA 94401-2885

Mailing address

39 N San Mateo Dr
Suite 6
San Mateo, CA 94401-2885
Phone (650) 347-0110

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

State licenses

LicenseStateTypeSpecialty
18971CAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1245578160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR",
            "address_2": "SUITE 6",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012885",
            "telephone_number": "650-347-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR",
            "address_2": "SUITE 6",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012885",
            "telephone_number": "650-347-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTNER",
        "first_name": "ANDREW",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.