Active NPI
Rebecca Nassar
- Speech-Language Pathologist
- Hayward, CA
National Provider Identifier
1316694763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24408
- Practice address
- 1628 B St
Hayward, CA 94541-3020 - Phone
- (510) 582-4636
- NPI assigned
- Mar 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24408 | CA | Primary |
Addresses
Primary practice location
1628 B St
Hayward, CA 94541-3020
Mailing address
1713 Dwight Way
Berkeley, CA 94703-1957
Other practice location 1
1628 B St
Hayward, CA 94541-3020
Phone (510) 582-4636
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rebecca.o.nassar@gmail.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646524800000",
"number": "1316694763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 DWIGHT WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947031957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 B ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413020",
"telephone_number": "510-582-4636"
}
],
"practiceLocations": [
{
"address_1": "1628 B St",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945413020",
"country_code": "US",
"telephone_number": "510-582-4636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASSAR",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-06",
"last_updated": "2022-03-06",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "24408",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rebecca.o.nassar@gmail.com",
"affiliation": "N",
"endpointDescription": "personal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1713 Dwight Way",
"city": "Berkeley",
"state": "CA",
"country_code": "US",
"postal_code": "947031957",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.