Dory R Kafoure, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17582 Issued in CA

Practice address

18153 Sun Maiden CT
San Diego, CA 92127-3102

Phone

(858) 722-4127

NPI assigned

Feb 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stac Physical Therapy Pfi IncGroup PAC ID 4789069337, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Stac Physical Therapy Pfi, Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1427703354
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1649033697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18153 SUN MAIDEN CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273102",
            "telephone_number": "858-722-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18153 SUN MAIDEN CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273102",
            "telephone_number": "858-722-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFOURE",
        "first_name": "DORY",
        "middle_name": "R",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Elizabeth Kaenel, D.D.S.
• Aya Wamidh Kafaji
• Zaphanlene Kaffey
• Aarya Kafi, M.D.
• Lucinne Kafka
• Amanda Brooks Kagan, M.D.
• Ashley Kagan
• Calvin M. Kagan, MD, MPH
• Viktor Yetimovich Kagan
• Jacob Kagel

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.