Individual provider Active NPI

Julia Segoviano, CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1609365790
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
31231 Issued in CA
Practice address
4068 30TH St
San Diego, CA 92104-2602
Phone
(916) 705-2813
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 31231 CA Primary

Addresses

Primary practice location

4068 30TH St
San Diego, CA 92104-2602

Mailing address

4068 30TH St
San Diego, CA 92104-2602
Phone (916) 705-2813

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

LicenseStateTypeSpecialty
31231CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Lamb Speech and Language, Inc. Speech-Language Pathologist Current Accepting new patients
Therapy Tree Group PLLC PastSince Dec 13, 2022 Accepting new patients
Therapy Tree, PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1609365790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042602",
            "telephone_number": "916-705-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042602",
            "telephone_number": "916-705-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOVIANO",
        "first_name": "JULIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "31231",
            "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 May 15, 2024; 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.