Individual provider Active NPI

Madeleine Ann Sarner, M.S. CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1376190868
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
34110 Issued in CA
Practice address
1231 Pennsylvania Ave Apt 7
San Diego, CA 92103-4577
Phone
(951) 973-9305
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 34110 CA Primary

Addresses

Primary practice location

1231 Pennsylvania Ave Apt 7
San Diego, CA 92103-4577

Mailing address

1500 S Ave K
Station 3, Shroc
Portales, NM 88130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312002866 CA Practitioner - Qualified Speech Language Pathologist 4385165810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern New Mexico University Speech-Language Pathologist CurrentSince Nov 12, 2023 Accepting new patients

Locations

1500 S Avenue K
#3
Portales, NM 88130
Phone (575) 562-2156

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1376190868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S AVE K",
            "address_2": "STATION 3, SHROC",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 PENNSYLVANIA AVE APT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034577",
            "telephone_number": "951-973-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNER",
        "first_name": "MADELEINE",
        "middle_name": "ANN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.