Sandra Gisonda

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

27001 Issued in CA

Practice address

44881 Trotsdale Dr
Temecula, CA 92592-5874

Phone

(949) 606-6487

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Full Potential Speech Therapy Center, Inc

  • Speech-Language Pathologist
  • Temecula, CA
  • NPI 1548729122
  NPD Authorized official

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1578049094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44881 TROTSDALE DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44881 TROTSDALE DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925874",
            "telephone_number": "949-606-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISONDA",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanni Venittelli OD Inc
• Luzero Gipson
• Sara Girgis, COTA
• Sylvia A Gisi, M.D.
• Debra Gisis, RRT
• Tatyana Givens
• Sean Brian Glazebrook
• Glia Neurology
• Global Design Solutions
• Taylor Rae Godnick, DC

• Speech-Language Pathologist in Temecula, CA
• Providers in Temecula, 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 Jul 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.