Individual provider Active NPI

Ana Luisa Tinker Valle, MA

  • Speech-Language Pathologist
  • San Francisco, CA
National Provider Identifier
1316650989
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17423 Issued in CA
Practice address
4156 24TH St
San Francisco, CA 94114-3615
Phone
(415) 226-7049
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 17423 CA Primary

Addresses

Primary practice location

4156 24TH St
San Francisco, CA 94114-3615

Mailing address

327 Mount Vernon Ave
San Francisco, CA 94112-3633
Phone (909) 344-6021

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 Arts

State licenses

LicenseStateTypeSpecialty
17423CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Logopedia Speech & Language Therapy, Inc. Speech-Language Pathologist CurrentSince Jan 1, 2023 Accepting new patients

Locations

4156 24th St
San Francisco, CA 94114
Phone (415) 226-7049

Organizations & group practices 1

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1316650989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MOUNT VERNON AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941123633",
            "telephone_number": "909-344-6021",
            "fax_number": "909-344-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143615",
            "telephone_number": "415-226-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKER VALLE",
        "first_name": "ANA LUISA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.