Individual provider Active NPI

Adrienne Gatan

  • Specialist
  • San Mateo, CA
National Provider Identifier
1740511807
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1720 S Amphlett Blvd Ste 110
San Mateo, CA 94402-2710
Phone
(650) 740-0474
NPI assigned
Jan 28, 2010
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Specialist 174400000X NU Primary

Addresses

Primary practice location

1720 S Amphlett Blvd Ste 110
San Mateo, CA 94402-2710

Mailing address

1720 S Amphlett Blvd Ste 110
San Mateo, CA 94402-2710
Phone (650) 740-0474

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Virtru

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oo Speech Pathology Ca, P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1740511807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S AMPHLETT BLVD STE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022710",
            "telephone_number": "650-740-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S AMPHLETT BLVD STE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022710",
            "telephone_number": "650-740-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATAN",
        "first_name": "ADRIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Virtru",
            "affiliation": "N",
            "address_1": "1720 S Amphlett Blvd Ste 110",
            "city": "San Mateo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944022710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.