Individual provider Active NPI

Sindhu Jefferson, SLPA

  • Speech-Language Assistant
  • Union City, CA
National Provider Identifier
1689140956
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
927 Issued in CA
Practice address
Ascend Rehab Services
29516 Kohoutek Way
Union City, CA 94587
Phone
(510) 362-0827
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 927 CA Primary

Addresses

Primary practice location

Ascend Rehab Services
29516 Kohoutek Way
Union City, CA 94587

Mailing address

5071 Rowan Dr
San Ramon, CA 94582-5879
Phone (408) 489-4379

Other identifiers 1

IdentifierTypeStateIssuer
927OtherCACALIFORNIA SPEECH AND AUDIOLOGY BOARD

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
927CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1689140956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5071 ROWAN DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825879",
            "telephone_number": "408-489-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASCEND REHAB SERVICES",
            "address_2": "29516 KOHOUTEK WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "94587",
            "telephone_number": "510-362-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "SINDHU",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SPEECH AND AUDIOLOGY BOARD",
            "identifier": "927",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.