Bernadette Talaboc Bergancia, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010039-1 Issued in NY

Practice address

6037 La Granada Avenue
Suite D
Rancho Santa Fe, CA 92067

Phone

(858) 699-0353

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1861532137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 LA GRANADA AVENUE, SUITE D",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "92067",
            "telephone_number": "858-699-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 LA GRANADA AVENUE",
            "address_2": "SUITE D",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "92067",
            "telephone_number": "858-699-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGANCIA",
        "first_name": "BERNADETTE",
        "middle_name": "TALABOC",
        "name_prefix": "Ms.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010039-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander C. George, DDS, Inc.
• Dana Alkasmi
• Anna Halbeisen, D.O., P.C.
• Jose Angel Barrientos, ND
• Michelle J. Beaupre, LCSW
• Binh Nguyen Physical Therapy
• Alan Morton Blank, MD
• Trinity Azevedo Blitt, AU.D.
• Odelia Braun, MD
• Chelsie Bruno, L.AC.

• Speech-Language Pathologist in Rancho Santa Fe, CA
• Providers in Rancho Santa Fe, 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 Jun 16, 2010; 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.