Organization Active NPI

Napa-Solano Pediatric Speech Therapy Group, Inc

  • Speech-Language Pathologist
  • Fairfield, CA
National Provider Identifier
1396247706
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2023
Legal business name
NAPA-SOLANO PEDIATRIC SPEECH THERAPY GROUP, INC
Practice address
5030 Business Center Dr Ste 245
Fairfield, CA 94534-6909
Phone
(916) 201-5510
NPI assigned
Mar 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Ruiz, MS, CCC-SLPNPI 1386081180
Title
Ceo
Phone
(916) 201-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2023 Primary

Addresses

Primary practice location

5030 Business Center Dr Ste 245
Fairfield, CA 94534-6909

Mailing address

950 Chelebrooke CT
Napa, CA 94559-3501
Phone (707) 681-0373

Other practice location 1

254 Red Pheasant Dr
Vacaville, CA 95687-7748
Phone (916) 201-5510

National Provider Directory

National Provider Directory

Locations

5030 Business Center Dr
Ste 245
Fairfield, CA 94534
Phone (707) 681-0373

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1396247706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CHELEBROOKE CT",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593501",
            "telephone_number": "707-681-0373",
            "fax_number": "707-681-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BUSINESS CENTER DR STE 245",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346909",
            "telephone_number": "916-201-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Red Pheasant Dr",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956877748",
            "country_code": "US",
            "telephone_number": "916-201-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAPA-SOLANO PEDIATRIC SPEECH THERAPY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-201-5510",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "2023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.