Individual provider Active NPI

Christina Ibarra Digiulio

  • Speech-Language Pathologist
  • Fairfield, CA
National Provider Identifier
1801420088
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14396 Issued in CA
Practice address
2353 Palmer Cir
Fairfield, CA 94534-7539
Phone
(916) 224-4779
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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 14396 CA Primary

Addresses

Primary practice location

2353 Palmer Cir
Fairfield, CA 94534-7539

Mailing address

2353 Palmer Cir
Fairfield, CA 94534-7539
Phone (916) 224-4779

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
31358CAMDMarriage & Family Therapist
14396CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Therapy Center, Inc. Speech-Language Pathologist PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1801420088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 PALMER CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347539",
            "telephone_number": "916-224-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 PALMER CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347539",
            "telephone_number": "916-224-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA DIGIULIO",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.