Active NPI
Christina De Quero, M.S. CCC-SLP
- Speech-Language Pathologist
- San Francisco, CA
National Provider Identifier
1407220650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24020
- Practice address
- 1140 Fell St
San Francisco, CA 94117-2304 - Phone
- (310) 384-1355
- NPI assigned
- Nov 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 025286 | NY | |
| Speech-Language Pathologist | 235Z00000X | 24020 | CA | Primary |
Addresses
Primary practice location
1140 Fell St
San Francisco, CA 94117-2304
Mailing address
1140 Fell St Unit 1
San Francisco, CA 94117-2304
Phone (310) 384-1355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025286 | NY | MD | Speech-Language Pathologist |
| 24020 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1407220650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 FELL ST UNIT 1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172304",
"telephone_number": "310-384-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 FELL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172304",
"telephone_number": "310-384-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE QUERO",
"first_name": "CHRISTINA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-25",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "025286",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "24020",
"primary": true
}
],
"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 Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.