Jaimie Macdonald

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

29208 Issued in CA

Practice address

39899 Balentine Dr Ste 128
Newark, CA 94560-5361

Phone

(650) 931-6300

NPI assigned

Dec 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Opya, Inc.

  • Behavior Analyst
  • San Mateo, CA
  • NPI 1992165021

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1558900191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR STE 128",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605361",
            "telephone_number": "650-931-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR STE 128",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605361",
            "telephone_number": "650-931-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 Executive Sq",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920379122",
            "country_code": "US",
            "telephone_number": "800-585-1299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JAIMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Jean Enterprises Inc (Flintwood Care Home)
• Jiahui Ma, LA.C
• Mengyang Ma
• Kathleen Claudia Mabie, CCC-SLP
• Gemilia Macaranas
• Denise Madayag
• Leslie M Madden
• Rico Madrid
• Julissa Madrigal
• Barbara Maestas

• Speech-Language Pathologist in Newark, CA
• Providers in Newark, 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 Sep 12, 2022; 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.