Uduak Osom, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP10585 Issued in CA

Practice address

1090 Homestead Rd
Santa Clara, CA 95050-5402

Phone

(408) 241-2229

Fax

(408) 241-3156

NPI assigned

Apr 3, 2010

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

State licenses

Practice roles

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

• Innovative Therapy Services-Pediatric Speech & Language Therapy Servic

  • Speech-Language Pathologist
  • Santa Clara, CA
  • NPI 1619292539
  NPD (past) Authorized official

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270252800000",
    "number": "1437474350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 HOMESTEAD RD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505402",
            "telephone_number": "408-241-2229",
            "fax_number": "408-241-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 HOMESTEAD RD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505402",
            "telephone_number": "408-241-2229",
            "fax_number": "408-241-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSOM",
        "first_name": "UDUAK",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-03",
        "last_updated": "2010-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP10585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annaliese Rae Ortiz
• Christina Ortiz
• Isaiah Ortiz
• Veronica Ortiz
• Lewis A Osofsky, M.D.
• Kenneth S. Ostrow, MD
• Alejandra Osuna
• Patrice H Otten, LCSW
• Da Ouyang, MD
• Daniel Lee Ouyang, M.D.

• Speech-Language Pathologist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; 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.