Individual provider Active NPI

Jackie Bestmann

  • Speech-Language Pathologist
  • Fallbrook, CA
National Provider Identifier
1629917489
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP21592 Issued in CA
Practice address
407 S Mission Rd
Fallbrook, CA 92028-2898
Phone
(760) 695-9608
Fax
(760) 451-9430
NPI assigned
Mar 26, 2026
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 SP21592 CA Primary

Addresses

Primary practice location

407 S Mission Rd
Fallbrook, CA 92028-2898

Mailing address

407 S Mission Rd
Fallbrook, CA 92028-2898
Phone (760) 695-9608

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
SP21592CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1629917489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S MISSION RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282898",
            "telephone_number": "760-695-9608",
            "fax_number": "760-451-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MISSION RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282898",
            "telephone_number": "760-695-9608",
            "fax_number": "760-451-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESTMANN",
        "first_name": "JACKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP21592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.