Active NPI
Gabriel Martin Trainer, CCC-SLP
- Speech-Language Pathologist
- Palo Alto, CA
National Provider Identifier
1689200446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 23302
- Practice address
- 899 E Charleston Rd
Palo Alto, CA 94303-4644 - Phone
- (650) 433-3600
- NPI assigned
- Mar 12, 2020
- Sex
- Male
- 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 | 23302 | CA | Primary |
Addresses
Primary practice location
899 E Charleston Rd
Palo Alto, CA 94303-4644
Mailing address
2107 Jefferson Ave
Redwood City, CA 94062-2009
Phone (469) 525-8251
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1689200446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 JEFFERSON AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940622009",
"telephone_number": "469-525-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 E CHARLESTON RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943034644",
"telephone_number": "650-433-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAINER",
"first_name": "GABRIEL",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-12",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "23302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.