Active NPI
Shabnam Sartipy, M.S., CCC-SLP
- Speech-Language Pathologist
- Encino, CA
National Provider Identifier
1376885707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP19903
- Practice address
- 5874 Zelzah Ave
Encino, CA 91316-1023 - Phone
- (818) 482-3684
- NPI assigned
- Mar 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | SP19903 | CA | Primary |
Addresses
Primary practice location
5874 Zelzah Ave
Encino, CA 91316-1023
Mailing address
5874 Zelzah Ave
Encino, CA 91316-1023
Phone (818) 482-3684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
774 S Placentia Ave
Suite 200
Placentia, CA 92870-6838
Phone (714) 646-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP19903 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interface Rehab, Inc. | Current | Accepting new patients | |
| Interface Rehab, Inc. | Current | Accepting new patients |
Locations
2400 W Acacia Ave
Hemet, CA 92545
Phone (951) 492-2841
774 S Placentia Ave
Ste 200
Placentia, CA 92870
Phone (714) 646-8300
Organizations & group practices 2
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.
-
- Physical Disabilities Residential Treatment Facility
- Placentia, CA
- NPI 1306960851
-
- Assisted Living Facility
- Healdsburg, CA
- NPI 1053178244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364083200000",
"number": "1376885707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5874 ZELZAH AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161023",
"telephone_number": "818-482-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5874 ZELZAH AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161023",
"telephone_number": "818-482-3684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARTIPY",
"first_name": "SHABNAM",
"name_prefix": "Miss",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-24",
"last_updated": "2013-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP19903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.