Active NPI
San Diego Kidspeak LLC
- Speech-Language Pathologist
- La Jolla, CA
National Provider Identifier
1366578627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5142
- Legal business name
- SAN DIEGO KIDSPEAK LLC
- Practice address
- 8813 Villa la Jolla Dr
Suite 2002
La Jolla, CA 92037-1937 - Phone
- (619) 838-4566
- NPI assigned
- Feb 23, 2007
- Last updated
- Mar 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eleanor Kalter-Margolin, M.A. CCC
- Title
- President
- Phone
- (619) 838-4566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5142 | CA | Primary |
Addresses
Primary practice location
8813 Villa la Jolla Dr
Suite 2002
La Jolla, CA 92037-1937
Mailing address
PO Box 773
La Jolla, CA 92038-0773
Phone (619) 838-4566
National Provider Directory
National Provider DirectoryLocations
8813 Villa La Jolla Dr
Ste 2002
La Jolla, CA 92037
Phone (619) 701-7999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331337600000",
"number": "1366578627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 773",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920380773",
"telephone_number": "619-838-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8813 VILLA LA JOLLA DR",
"address_2": "SUITE 2002",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371937",
"telephone_number": "619-838-4566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO KIDSPEAK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2012-03-10",
"status": "A",
"authorized_official_last_name": "KALTER-MARGOLIN",
"authorized_official_first_name": "ELEANOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-838-4566",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.A. CCC"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "5142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- San Diego Nerve Study Center
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- San Diego Pain Medicine
- San Diego Pain Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.