Active NPI
Priscilla Lau
- Speech-Language Pathologist
- San Ramon, CA
National Provider Identifier
1578095154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21757
- Practice address
- 2208 Camino Ramon Ste B
San Ramon, CA 94583-1328 - Phone
- (925) 830-5133
- NPI assigned
- Apr 1, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 21757 | CA | Primary |
Addresses
Primary practice location
2208 Camino Ramon Ste B
San Ramon, CA 94583-1328
Mailing address
6639 Cutting Blvd
El Cerrito, CA 94530-1922
Phone (510) 703-4143
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21757 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy at Play, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- San Ramon, CA
- NPI 1326379298
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491004800000",
"number": "1578095154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6639 CUTTING BLVD",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945301922",
"telephone_number": "510-703-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 CAMINO RAMON STE B",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831328",
"telephone_number": "925-830-5133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "PRISCILLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-01",
"last_updated": "2017-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "21757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.