Individual provider Active NPI

Gloria Interiano, M.S.- SLP

  • Speech-Language Pathologist
  • San Leandro, CA
National Provider Identifier
1740525153
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8045 Issued in CA
Practice address
1981 Quebec Ave Apt B
San Leandro, CA 94579-2259
Phone
(209) 366-4261
NPI assigned
Dec 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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 8045 CA Primary

Addresses

Primary practice location

1981 Quebec Ave Apt B
San Leandro, CA 94579-2259

Mailing address

1981 Quebec Ave Apt B
San Leandro, CA 94579-2259

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1740525153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 QUEBEC AVE APT B",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945792259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 QUEBEC AVE APT B",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945792259",
            "telephone_number": "209-366-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTERIANO",
        "first_name": "GLORIA",
        "credential": "M.S.- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "8045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.