Active NPI
Penguinsmart Inc.
- Speech-Language Pathologist
- Belmont, CA
National Provider Identifier
1821561085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- PENGUINSMART INC.
- Practice address
- 2121 Coronet Blvd
Belmont, CA 94002-1663 - Phone
- (650) 691-5723
- NPI assigned
- Jan 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Kwok
- Title
- VP of Operations
- Phone
- (650) 691-5723
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Developmental Therapist | 222Q00000X | |||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Augmentative Communication Clinic/Center | 261QA3000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Hearing and Speech Clinic/Center | 261QH0700X |
Addresses
Primary practice location
2121 Coronet Blvd
Belmont, CA 94002-1663
Mailing address
2121 Coronet Blvd
Belmont, CA 94002-1663
Phone (650) 691-5723
National Provider Directory
National Provider DirectoryLocations
3333 Coyote Hill Rd
Palo Alto, CA 94304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1821561085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 CORONET BLVD",
"city": "BELMONT",
"state": "CA",
"postal_code": "940021663",
"telephone_number": "650-691-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 CORONET BLVD",
"city": "BELMONT",
"state": "CA",
"postal_code": "940021663",
"telephone_number": "650-691-5723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENGUINSMART INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-09",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "KWOK",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "650-691-5723",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Augmentative Communication",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.