Annica Mabunga Asilo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

311 Ray St
Pleasanton, CA 94566-6621

Phone

(925) 399-5796

Fax

(925) 249-5121

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Teamwork Speech Therapy Inc

  • Clinic/Center
  • Pleasanton, CA
  • NPI 1053711838

  Speech-Language Pathologist

  NPD
• Teamwork Therapies

  • Speech-Language Pathologist
  • Pleasanton, CA
  • NPI 1023984242
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1740952852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RAY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666621",
            "telephone_number": "925-399-5796",
            "fax_number": "925-249-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RAY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666621",
            "telephone_number": "925-399-5796",
            "fax_number": "925-249-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASILO",
        "first_name": "ANNICA MABUNGA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY",
            "identifier": "208610724",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maliha Asalati, D.C.
• Asesso Health, Inc.
• Joshua Randolph Ashford
• Trenton Rieley Ashizawa
• Dunya Asifi
• Vandana Aspen, PHD
• Richard Francis Asturias, D.C., Q.M.E.
• Debra Susn Atchinson, O.D.
• Gurkirat Kaur Atkar, OD
• Attaie Healthcare Inc.

• Speech-Language Pathologist in Pleasanton, CA
• Providers in Pleasanton, 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 Sep 28, 2021; 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.