Active NPI
Sarah Depol, MS
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1659869790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 25733
- Practice address
- 411 Camino del Rio S Ste 101
San Diego, CA 92108-3508 - Phone
- (619) 574-8181
- Fax
- (619) 574-0802
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 25733 | CA | Primary |
Addresses
Primary practice location
411 Camino del Rio S Ste 101
San Diego, CA 92108-3508
Mailing address
411 Camino del Rio S Ste 101
San Diego, CA 92108-3508
Phone (619) 574-8181
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25733 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1659869790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 CAMINO DEL RIO S STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083508",
"telephone_number": "619-574-8181",
"fax_number": "619-574-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 CAMINO DEL RIO S STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083508",
"telephone_number": "619-574-8181",
"fax_number": "619-574-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPOL",
"first_name": "SARAH",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "25733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.