Organization Active NPI

Sunbow Speech Therapy PC

  • Speech-Language Pathologist
  • Chula Vista, CA
National Provider Identifier
1790559656
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUNBOW SPEECH THERAPY PC
Practice address
813 Humphrey PL
Chula Vista, CA 91911-6946
Phone
(619) 500-4292
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Leah GonzalesNPI 1508373721
Title
Ceo
Phone
(619) 500-4292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

813 Humphrey PL
Chula Vista, CA 91911-6946

Mailing address

601 E Palomar Street
Suite C #476
Chula Vista, CA 91911

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1790559656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E PALOMAR STREET",
            "address_2": "SUITE C #476",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 HUMPHREY PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116946",
            "telephone_number": "619-500-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBOW SPEECH THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-500-4292"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.