Individual provider Active NPI

Bonny Almeida, CCC-SLP

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1669923686
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24932 Issued in CA
Practice address
4340 Stevens Creek Blvd Ste 107
San Jose, CA 95129-1147
Phone
(408) 290-5074
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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 24932 CA Primary

Addresses

Primary practice location

4340 Stevens Creek Blvd Ste 107
San Jose, CA 95129-1147

Mailing address

4340 Stevens Creek Blvd Ste 107
San Jose, CA 95129-1147
Phone (408) 290-5074

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
24932CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1669923686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 STEVENS CREEK BLVD STE 107",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291147",
            "telephone_number": "408-290-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 STEVENS CREEK BLVD STE 107",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291147",
            "telephone_number": "408-290-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMEIDA",
        "first_name": "BONNY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "24932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.