Active NPI
Napa-Solano Pediatric Speech Therapy Group, Inc
- Speech-Language Pathologist
- Fairfield, CA
National Provider Identifier
1396247706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Ruiz, MS, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Fairfield, CA
- NPI 1386081180
-
- Speech-Language Assistant
- Fairfield, CA
- NPI 1174251029
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.