Alexander Edwards, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18823 Issued in CA

Practice address

1650 Los Gamos Dr
San Rafael, CA 94903-1850

Phone

(415) 444-2000

NPI assigned

Jan 15, 2024

Last updated

Jan 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Londyn Edwards Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Alexia Mazzone and Associates Speech-Language Pathology, Inc.

  dba TALK; Teaching and Assessing Language for Kids

  • Speech-Language Pathologist
  • Burlingame, CA
  • NPI 1164296604
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1841373800
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Alexia Mazzone and Associates Speech-Language Pathology, Inc.

  • Speech-Language Pathologist
  • Burlingame, CA
  • NPI 1891628392
  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1740051069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 ANZA ST APT 7",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183941",
            "telephone_number": "818-518-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 LOS GAMOS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031850",
            "telephone_number": "415-444-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Howard Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104229",
            "country_code": "US",
            "telephone_number": "650-344-9961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALEXANDER",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LONDYN",
            "last_name": "EDWARDS",
            "credential": "MS CCC SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ecumenical Association for Housing, Inc.
• Evan Edelist
• Edgar Celis MD Inc
• Sara Abbot Edrington, PSYD
• Holly Edson, NP
• Damian Alfonso Edwards, CASE 1
• Mark Anthony Edwards, MS, MFT
• Rochelle Edwards, LMFT
• Boukje Elisabeth Eerkens, PSY.D.
• Egan Family Chiropractic Inc.

• Speech-Language Pathologist in San Rafael, CA
• Providers in San Rafael, 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 Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.