Individual provider Active NPI

Aidee Vazquez Hernandez

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1619872678
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1465 Issued in CA
Practice address
4442 Mystic Sunrise Dr
San Antonio, TX 78244-3226
Phone
(714) 260-4005
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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 1465 CA Primary

Addresses

Primary practice location

4442 Mystic Sunrise Dr
San Antonio, TX 78244-3226

Mailing address

4442 Mystic Sunrise Dr
San Antonio, TX 78244-3226
Phone (714) 260-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791590400000",
    "number": "1619872678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 MYSTIC SUNRISE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782443226",
            "telephone_number": "714-260-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 MYSTIC SUNRISE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782443226",
            "telephone_number": "714-260-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ HERNANDEZ",
        "first_name": "AIDEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "1465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.