Del Sur Speech Therapy

Primary specialty

ContractorTaxonomy code 171W00000X

License

SP15599 Issued in CA

Legal business name

DEL SUR SPEECH THERAPY

Practice address

8395 Katherine Claire LN
San Diego, CA 92127-4107

Phone

(619) 952-9130

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Kristen Nevares, CCC-SLP

Title

Speech-Language Pathologist

Phone

(619) 952-9130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1316339211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8395 KATHERINE CLAIRE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274107",
            "telephone_number": "619-952-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 KATHERINE CLAIRE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274107",
            "telephone_number": "619-952-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL SUR SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "NEVARES",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "619-952-9130",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": "SP15599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie-Lee Quilinderino Del Rosario
• Pamela G.B. Del Rosario, M.D.
• Jake Del Rosso, MD
• Karina Del Salto
• Del Sur Eyecare & Optometry Inc.
• Adrienne Del Valle, BCAT
• Anastasiya Y. Del Valle, PA-C
• Heather Jenna Del Valle, RN
• Alexa Del Villar
• Miguel Angel Del Villar, RN,CSN

• Contractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.