Patricia Agustin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14259 Issued in CA

Practice address

771 W Sierra Ave
Clovis, CA 93612-0125

Phone

(559) 899-9550

NPI assigned

Apr 4, 2008

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spot on Speech Therapy Collective PC

  • Speech-Language Pathologist
  • Fresno, CA
  • NPI 1902518855
  NPD

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1326211830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 W ATWATER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110840",
            "telephone_number": "559-907-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 W SIERRA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120125",
            "telephone_number": "559-899-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSTIN",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Foot and Ankle Centers Inc.
• Andres G Aguilar Jr.
• Carlos Aguilera
• Ashley Suzanne Aguirre Holcomb, PSY.D.
• Gabriel G Aguirre
• Ali Ahmad
• Shakeel Rashid Ahmad, DO
• Ramiz Khurram Ahmed
• Carl R Ahroon, M.D.
• Ak Arthritis & Rheumatology, Inc.

• Speech-Language Pathologist in Clovis, CA
• Providers in Clovis, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.