Active NPI
Jennifer Piscopo, MA
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1487505905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12847
- Practice address
- 4063 Polk Ave
San Diego, CA 92105-1436 - Phone
- (619) 344-6120
- NPI assigned
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 12847 | CA | Primary |
Addresses
Primary practice location
4063 Polk Ave
San Diego, CA 92105-1436
Mailing address
PO Box 1182
Spring Valley, CA 91979-1182
Phone (619) 851-3979
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12847 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1487505905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1182",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919791182",
"telephone_number": "619-851-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4063 POLK AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051436",
"telephone_number": "619-344-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISCOPO",
"first_name": "JENNIFER",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "12847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.