Justine Marie Real, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12322 Issued in CA

Practice address

2155 Caminito Leonzio
Suite 20
Chula Vista, CA 91915-4169

Phone

(858) 733-1954

Fax

(800) 803-8147

NPI assigned

Jun 5, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Soleil Healing Hands Therapy Inc

  • Occupational Therapist
  • Chula Vista, CA
  • NPI 1578855664

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1750583274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 CLAIRE DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920573534",
            "telephone_number": "760-521-2902",
            "fax_number": "800-803-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 CAMINITO LEONZIO",
            "address_2": "SUITE 20",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919154169",
            "telephone_number": "858-733-1954",
            "fax_number": "800-803-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAL",
        "first_name": "JUSTINE",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephany L Raygoza Hernandez
• Carlos Eduardo Razo
• Mercedes F Razo, D.D.S,M.A.G.D.
• Shanon Read
• Real Dental Corp
• Luis E Real, D.D.S.
• Magdalena Real
• Carla Reale Batista, MD
• Dianna Bermejo Reandino, RN
• Jacqueline Marie Reardon, D.O.

• Speech-Language Pathologist in Chula Vista, CA
• Providers in Chula Vista, 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 Jun 29, 2011; 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.