Individual provider Active NPI

Leigh Anne Postizzi, MS, CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1619026176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP14444 Issued in CA
Practice address
7801 Mission Center CT
Suite 104
San Diego, CA 92108-1313
Phone
(619) 692-0622
Fax
(619) 692-0644
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP14444 CA Primary

Addresses

Primary practice location

7801 Mission Center CT
Suite 104
San Diego, CA 92108-1313

Mailing address

728 San Gabriel PL
Apt #2
San Diego, CA 92109-8036
Phone (619) 692-0622

Other names 1

  • Leigh Anne Porter Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP14444CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619026176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 SAN GABRIEL PL",
            "address_2": "APT #2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098036",
            "telephone_number": "619-692-0622",
            "fax_number": "619-692-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 MISSION CENTER CT",
            "address_2": "SUITE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081313",
            "telephone_number": "619-692-0622",
            "fax_number": "619-692-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTIZZI",
        "first_name": "LEIGH",
        "middle_name": "ANNE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP14444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "PORTER",
            "middle_name": "ANNE",
            "credential": "MSM CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.