Individual provider Active NPI

Alexa Maria Lino, M.S., CCC-SLP

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1275407983
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
40431 Issued in CA
Practice address
1990 Fruitdale Ave
San Jose, CA 95128-2795
Phone
(408) 998-8447
NPI assigned
Oct 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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 40431 CA Primary

Addresses

Primary practice location

1990 Fruitdale Ave
San Jose, CA 95128-2795

Mailing address

2071 Carol Lee LN
Escondido, CA 92026-1156
Phone (408) 242-0505

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
40431CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1275407983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 CAROL LEE LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920261156",
            "telephone_number": "408-242-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 FRUITDALE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282795",
            "telephone_number": "408-998-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINO",
        "first_name": "ALEXA",
        "middle_name": "MARIA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "40431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; 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.