Individual provider Active NPI

Anita Luff, MS, CCC-SLP

  • Speech-Language Pathologist
  • Antioch, CA
National Provider Identifier
1629307186
Registry record updated Dec 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP13834 Issued in CA
Practice address
4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone
(925) 813-3560
NPI assigned
Dec 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2009

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 SP13834 CA Primary

Addresses

Primary practice location

4501 Sand Creek Rd
Antioch, CA 94531-8687

Mailing address

318 Barn Dance Way
Oakley, CA 94561-1766
Phone (925) 437-3744

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
SP13834CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1260576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260576000000",
    "number": "1629307186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 BARN DANCE WAY",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945611766",
            "telephone_number": "925-437-3744",
            "fax_number": "925-679-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 SAND CREEK RD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318687",
            "telephone_number": "925-813-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUFF",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-12",
        "last_updated": "2009-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP13834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2009; 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.