Individual provider Active NPI

Dinah Marrujo

  • Speech-Language Pathologist
  • National City, CA
National Provider Identifier
1467220053
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
34684 Issued in CA
Practice address
3131 Valley Rd SPC 74
National City, CA 91950-7840
Phone
(619) 710-6286
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 34684 CA Primary

Addresses

Primary practice location

3131 Valley Rd SPC 74
National City, CA 91950-7840

Mailing address

4630 Border Village Rd # N2031
San Ysidro, CA 92173-3121
Phone (619) 710-6286

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

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1467220053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 BORDER VILLAGE RD # N2031",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733121",
            "telephone_number": "619-710-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 VALLEY RD SPC 74",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507840",
            "telephone_number": "619-710-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRUJO",
        "first_name": "DINAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.