Individual provider Active NPI

Catherine Mace Vitug

  • Speech-Language Pathologist
  • San Leandro, CA
National Provider Identifier
1891297412
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
33683 Issued in CA
Practice address
1500 Dayton Ave
San Leandro, CA 94579-1528
Phone
(510) 317-3679
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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 33683 CA Primary

Addresses

Primary practice location

1500 Dayton Ave
San Leandro, CA 94579-1528

Mailing address

17572 Via Rincon
San Lorenzo, CA 94580-3223
Phone (408) 966-4434

Other names 1

  • Catherine Mace Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33683CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Speech, Language and Occupational Therapy a Prof Corp Speech-Language Pathologist Past 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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1891297412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17572 VIA RINCON",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945803223",
            "telephone_number": "408-966-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DAYTON AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791528",
            "telephone_number": "510-317-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITUG",
        "first_name": "CATHERINE",
        "middle_name": "MACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "33683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "MACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.