Takushi-Geyrozaga, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11182 Issued in CA

Legal business name

TAKUSHI-GEYROZAGA, LLC

Practice address

1291 E Hillsdale Blvd
Suite 206
Foster City, CA 94404-1220

Phone

(650) 357-1159

Fax

(650) 357-1161

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kelli Katsuko Takushi-Geyrozaga, MS CCC-SLP

Title

Owner/Speech-Language Pathologist

Phone

(650) 357-1159

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1548498850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 E HILLSDALE BLVD",
            "address_2": "SUITE 206",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041220",
            "telephone_number": "650-357-1159",
            "fax_number": "650-357-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 E HILLSDALE BLVD",
            "address_2": "SUITE 206",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041220",
            "telephone_number": "650-357-1159",
            "fax_number": "650-357-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKUSHI-GEYROZAGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "TAKUSHI-GEYROZAGA",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "KATSUKO",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "650-357-1159",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "11182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Huynh, DDS Inc (Metro Dental Foster City)
• Melissa Conrad Stoppler, MD
• Jennifer G Sugden, ND
• Diane Tackaberry, RPH
• Joan Tadeja
• Kathleen Clare Tamm, LICENSED MARRIAGE &
• Tara Tappuni, DDS
• Myriam M. Tawfik, DDS
• Christina Thomas, CNA,MA,EMT,LVN,RN
• Anthony Tognetti, D.P.T.

• Speech-Language Pathologist in Foster City, CA
• Providers in Foster City, 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 25, 2009; 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.