Individual provider Active NPI

Shabnam Sartipy, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Encino, CA
National Provider Identifier
1376885707
Registry record updated Mar 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP19903 Issued in CA
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

Updated by the provider on Mar 24, 2013

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 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

Enrollment IDStateProvider typePAC IDDetails
I20250915004358 CA Practitioner - Qualified Speech Language Pathologist 5193229029 Reassigns benefits to 1 organization

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
Interface Rehab, Inc.Group PAC ID 6204736556, 10 clinicians

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

LicenseStateTypeSpecialty
SP19903CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Rehab, Inc. CurrentSince Jul 4, 2025 Accepting new patients
Interface Rehab, Inc. CurrentSince Jul 4, 2025 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.

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.

Verify at the official NPI Registry.