Anna Mah, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

34210 Issued in CA

Practice address

3333 Vaca Valley Pkwy Ste 900
Vacaville, CA 95688-9419

Phone

(707) 474-9949

NPI assigned

Jan 11, 2023

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.

• Shine Therapy Center, Inc.

  • Speech-Language Pathologist
  • Vacaville, CA
  • NPI 1083157630
  NPD (past)

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1447964671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 CAMELLIA WAY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 VACA VALLEY PKWY STE 900",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889419",
            "telephone_number": "707-474-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAH",
        "first_name": "ANNA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle C Macias
• Lissa Maciel
• Daniel I Macintyre, PHD
• Griselda Madrigal
• Joshua Maffly, M.F.T.
• Karla Yazmin Maharaj, DDS
• Sherie Lynn Mahlberg, M.F.T.
• Sana Mahmood
• John Edward Maike, LMFT
• Shelita Darlene Majied, LCSW

• Speech-Language Pathologist in Vacaville, CA
• Providers in Vacaville, 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 Jan 11, 2023; 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.