Active NPI
Just Kids Learning Center
- Speech-Language Pathologist
- San Francisco, CA
National Provider Identifier
1407038110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP12079
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer A Lopez, MS, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- San Francisco, CA
- NPI 1952544827
-
- Pediatric Occupational Therapist
- San Francisco, CA
- NPI 1821231317
-
- Speech-Language Pathologist
- San Francisco, CA
- NPI 1225271109
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.