United Cerebral Palsy Association of San Diego County

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

UNITED CEREBRAL PALSY ASSOCIATION OF SAN DIEGO COUNTY

Practice address

8665 Gibbs Drive
Suite 100
San Diego, CA 92123-1765

Phone

(858) 571-7803

Fax

(858) 571-0919

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Mr. David Steven Carucci

Title

Executive Director

Phone

(858) 571-7803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1487148326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 GIBBS DR STE 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231765",
            "telephone_number": "858-571-7803",
            "fax_number": "858-571-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 GIBBS DRIVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231765",
            "telephone_number": "858-571-7803",
            "fax_number": "858-571-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOCIATION OF SAN DIEGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "CARUCCI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "858-571-7803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, 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 Jun 18, 2018; 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.