Individual provider Active NPI

Christina Victoria Nobriga, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Loma Linda, CA
National Provider Identifier
1659604080
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12841 Issued in CA
Practice address
Nichol Hall A506
School of Allied Health Professions
Loma Linda, CA 92350-0001
Phone
(909) 558-4995
Fax
(909) 558-4305
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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 12841 CA Primary

Addresses

Primary practice location

Nichol Hall A506
School of Allied Health Professions
Loma Linda, CA 92350-0001

Mailing address

Nichol Hall A506
School of Allied Health Professions
Loma Linda, CA 92350-0001
Phone (909) 558-4995

Other identifiers 1

IdentifierTypeStateIssuer
12042951OtherMIASHA

Other names 1

  • Christina Victoria Bratlulnd 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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
12841CAMDOptometrist

Interoperability endpoints

  • Direct secure messaging: cbratlund62622@direct.llu.edu

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1659604080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NICHOL HALL A506",
            "address_2": "SCHOOL OF ALLIED HEALTH PROFESSIONS",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500001",
            "telephone_number": "909-558-4995",
            "fax_number": "909-558-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NICHOL HALL A506",
            "address_2": "SCHOOL OF ALLIED HEALTH PROFESSIONS",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500001",
            "telephone_number": "909-558-4995",
            "fax_number": "909-558-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBRIGA",
        "first_name": "CHRISTINA",
        "middle_name": "VICTORIA",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12042951",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "BRATLULND",
            "middle_name": "VICTORIA",
            "credential": "PHD, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.