Individual provider Active NPI

Andalusia Masad, CCC-SLP

  • Speech-Language Pathologist
  • San Francisco, CA
National Provider Identifier
1437793346
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30459 Issued in CA
Practice address
627 Turk St
San Francisco, CA 94102-3212
Phone
(415) 749-3567
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30459 CA Primary

Addresses

Primary practice location

627 Turk St
San Francisco, CA 94102-3212

Mailing address

627 Turk St
San Francisco, CA 94102-3212
Phone (415) 749-3567

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address masada@sfusd.edu

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cable Car Speech Therapy Inc. Speech-Language Pathologist Current Accepting new patients

Organizations & group practices 1

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1437793346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 TURK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023212",
            "telephone_number": "415-749-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 TURK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023212",
            "telephone_number": "415-749-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAD",
        "first_name": "ANDALUSIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "masada@sfusd.edu",
            "affiliation": "N",
            "address_1": "627 Turk St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941023212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 8, 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.