Individual provider Active NPI

Andrea Szulik

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1740514900
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10039 Issued in CA
Practice address
12886 Seabreeze Farms Dr
San Diego, CA 92130-3735
Phone
(858) 259-6825
Fax
(858) 259-6825
NPI assigned
Sep 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10039 CA Primary

Addresses

Primary practice location

12886 Seabreeze Farms Dr
San Diego, CA 92130-3735

Mailing address

12886 Seabreeze Farms Dr
San Diego, CA 92130-3735
Phone (858) 259-6825

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
10039CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1740514900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12886 SEABREEZE FARMS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303735",
            "telephone_number": "858-259-6825",
            "fax_number": "858-259-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12886 SEABREEZE FARMS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303735",
            "telephone_number": "858-259-6825",
            "fax_number": "858-259-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZULIK",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.