Christa Gerda Stefoni, MS CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP18107 Issued in CA

Practice address

1740 S San Dimas Ave
San Dimas, CA 91773-5108

Phone

(909) 394-0304

Fax

(909) 305-4647

NPI assigned

Jul 25, 2011

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

Other names 1

• Christa Gerda Popoff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1851679880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "800-944-9782",
            "fax_number": "610-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S SAN DIMAS AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917735108",
            "telephone_number": "909-394-0304",
            "fax_number": "909-305-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFONI",
        "first_name": "CHRISTA",
        "middle_name": "GERDA",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP18107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "POPOFF",
            "middle_name": "GERDA",
            "credential": "MS CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Spectrum Eyecare Optometry Inc
• Splinter Medical Group, Inc.
• Naiim Tysir Spratt
• Santi Srijumnong, PHARMD
• Julie Nicole Stassart, BA
• Leanne Marie Steinhaus, AMFT
• Kanye Stephens
• Stevenson Dental Group
• Jessica Renae Stewart
• Geovanna Alejandra Stingley, COTA

• Speech-Language Pathologist in San Dimas, CA
• Providers in San Dimas, 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 Jul 25, 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.