Valeria Carrillo

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5847 Issued in CA

Practice address

1812 W Kettleman LN
Lodi, CA 95242-8224

Phone

(209) 242-4606

NPI assigned

Jul 30, 2018

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Communication Blooms Speech Therapy Inc.

  • Speech-Language Pathologist
  • Lodi, CA
  • NPI 1689445231
  NPD

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1427536705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W KETTLEMAN LN STE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424209",
            "telephone_number": "209-242-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W KETTLEMAN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952428224",
            "telephone_number": "209-242-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "VALERIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "5847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Francine Cardoza, M.S.
• Dana Y. Carey, MSW, PPS
• Michael Alan Carl, D.D.S.
• Rafael Carlos, DPT
• Candra Carr, PA-C
• Vanessa Casas
• Rick Castelanelli
• Julie Monique Castro
• Pablo R Castro, M.D.
• Center for Independent Rehabilitative Services Inc

• Speech-Language Assistant in Lodi, CA
• Providers in Lodi, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.