Individual provider Active NPI

Yanci Lissette Conde

  • Speech-Language Assistant
  • Concord, CA
National Provider Identifier
1700601374
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SPA7622 Issued in CA
Practice address
1849 Willow Pass Rd # 420
Concord, CA 94520-2524
Phone
(925) 672-9440
NPI assigned
Nov 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 SPA7622 CA Primary

Addresses

Primary practice location

1849 Willow Pass Rd # 420
Concord, CA 94520-2524

Mailing address

2466 Mahan Way
San Pablo, CA 94806-1633
Phone (510) 375-6519

Other practice location 1

4700 Main St Ste A
Oakley, CA 94561-3723
Phone (925) 672-9440

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
SPA7622CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Across Barriers Speech Clinics Inc. CurrentSince Nov 24, 2024 Accepting new patients

Locations

1849 Willow Pass Rd
#420
Concord, CA 94520
Phone (925) 672-9440

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1700601374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 MAHAN WAY",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061633",
            "telephone_number": "510-375-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 WILLOW PASS RD # 420",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202524",
            "telephone_number": "925-672-9440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Oakley",
            "state": "CA",
            "postal_code": "945613723",
            "country_code": "US",
            "telephone_number": "925-672-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDE",
        "first_name": "YANCI",
        "middle_name": "LISSETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA7622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.