Active NPI
Jisa John
- Speech-Language Pathologist
- Elk Grove, CA
National Provider Identifier
1447163944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 40874
- Practice address
- 9510 Elk Grove Florin Rd
Elk Grove, CA 95624-1801 - Phone
- (916) 686-5085
- NPI assigned
- Sep 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 40874 | CA | Primary |
Addresses
Primary practice location
9510 Elk Grove Florin Rd
Elk Grove, CA 95624-1801
Mailing address
4500 Truxel Rd Apt 235
Sacramento, CA 95834-3732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1447163944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 TRUXEL RD APT 235",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958343732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9510 ELK GROVE FLORIN RD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956241801",
"telephone_number": "916-686-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "40874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.