Organization Active NPI

Just Kids Learning Center

  • Speech-Language Pathologist
  • San Francisco, CA
National Provider Identifier
1407038110
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP12079 Issued in CA
Legal business name
JUST KIDS LEARNING CENTER
Practice address
2722 Gough St
San Francisco, CA 94123-4405
Phone
(415) 775-5511
Fax
(415) 775-5521
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Jennifer A Lopez, MS, CCC-SLPNPI 1952544827
Title
Director
Phone
(415) 775-5511

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP12079 CA Primary
Early Intervention Provider Agency 252Y00000X SP12079 CA

Addresses

Primary practice location

2722 Gough St
San Francisco, CA 94123-4405

Mailing address

2722 Gough St
San Francisco, CA 94123-4405
Phone (415) 775-5511

National Provider Directory

National Provider Directory

Locations

2722 Gough St
San Francisco, CA 94123
Phone (415) 729-3871

Practitioners & affiliated clinicians

Practitioners 3

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1407038110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 GOUGH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234405",
            "telephone_number": "415-775-5511",
            "fax_number": "415-775-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 GOUGH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234405",
            "telephone_number": "415-775-5511",
            "fax_number": "415-775-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST KIDS LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-775-5511",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP12079",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "SP12079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.