Jeralyn Dasalla

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

6683 Issued in CA

Practice address

4114 Cedarvale CT
Fairfield, CA 94534-6618

Phone

(707) 816-8897

NPI assigned

Jul 5, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1780255380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 CEDARVALE CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 CEDARVALE CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346618",
            "telephone_number": "707-816-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASALLA",
        "first_name": "JERALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "6683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeralyn@sevenbridgestherapy.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4114 Cedarvale Ct",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945346618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Napoleon Dargan Jr., M.A
• Meshia R Darling, N.P.
• Chantel Dartez
• Priyanka Das
• Sorabh Das, DDS
• Dasari Medical Corporation
• Padma Dasari, M D
• Terrial S Davenport, LCSW
• David a. Sestero, DDS, Inc.
• David F la Rochelle MD a Medical Corporation

• Speech-Language Assistant in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.