Active NPI
Taylor Fong
- Speech-Language Pathologist
- Sacramento, CA
National Provider Identifier
1437629151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 37899
- Practice address
- 4380 Auburn Blvd
Sacramento, CA 95841-4148 - Phone
- (916) 771-8255
- NPI assigned
- Nov 26, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 37899 | CA | Primary |
Addresses
Primary practice location
4380 Auburn Blvd
Sacramento, CA 95841-4148
Mailing address
9355 E Stockton Blvd Ste 225
Elk Grove, CA 95624-9526
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37899 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jabbergym, LLC | Behavior Technician | Current | Accepting new patients |
| Jabbergym, LLC | Behavior Technician | Current | Accepting new patients |
| Kadiant, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
4380 Auburn Blvd
Sacramento, CA 95841
Phone (916) 444-0033
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1437629151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9355 E STOCKTON BLVD STE 225",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956249526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4380 AUBURN BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414148",
"telephone_number": "916-771-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "37899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.