Geraldine Fabella, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10776 Issued in CA

Practice address

2876 Carmel St Apt 2
Oakland, CA 94602-3461

Phone

(510) 684-7659

NPI assigned

Jan 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gerry Fabella Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1699079525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 CARMEL ST APT 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023461",
            "telephone_number": "510-684-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2876 CARMEL ST APT 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023461",
            "telephone_number": "510-684-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABELLA",
        "first_name": "GERALDINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERRY",
            "last_name": "FABELLA",
            "credential": "CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• F Moftakhar DDS a Professional Corp
• F. Moftakhar DDS a Professional Corp.
• F. Myron Hays, PH.D.
• Erica Q Faafiu, NP
• Adefunke Fabayo
• Mary Rose Lazo Fabi, M.D.
• Meghan Fabian Roy, PSYD
• Selene Fabiano, PH.D.
• Michelle Verdan Fabito, PT
• Hans Facer, DDS

• Speech-Language Pathologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.