Alistair Tashaya Trisorus, MS SLP-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16841 Issued in CA

Practice address

1685 Westwood Dr Ste 3
San Jose, CA 95125-5104

Phone

(408) 430-2667

NPI assigned

Jul 21, 2022

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

Credentials

Master of Science

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1346975505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 WESTWOOD DR STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255104",
            "telephone_number": "408-430-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 WESTWOOD DR STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255104",
            "telephone_number": "408-430-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRISORUS",
        "first_name": "ALISTAIR",
        "middle_name": "TASHAYA",
        "credential": "MS SLP-CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in San Jose, CA
• Providers in San Jose, 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 Dec 5, 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.