Active NPI
Irina Onisko
- Speech-Language Pathologist
- Sacramento, CA
National Provider Identifier
1891325544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17210
- Practice address
- 1972 Del Paso Rd Ste 156
Sacramento, CA 95834-7725 - Phone
- (916) 575-8800
- NPI assigned
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Speech-Language Pathologist | 235Z00000X | 17210 | CA | Primary |
Addresses
Primary practice location
1972 Del Paso Rd Ste 156
Sacramento, CA 95834-7725
Mailing address
327 Senator Ave
Sacramento, CA 95833-1318
Phone (916) 459-9869
Other practice location 1
1500 S Ave K
Station 3, SHROC
Portales, NM 88130
Phone (575) 562-4232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17210 | Other | CA | SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern New Mexico University | Speech-Language Pathologist | Current | Accepting new patients |
| Cook Speech and Language Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1500 S Avenue K
#3
Portales, NM 88130
Phone (575) 562-2156
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Portales, NM
- NPI 1356115273
-
- Speech-Language Pathologist
- Sacramento, CA
- NPI 1669778460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664668800000",
"number": "1891325544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 SENATOR AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958331318",
"telephone_number": "916-459-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1972 DEL PASO RD STE 156",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958347725",
"telephone_number": "916-575-8800"
}
],
"practiceLocations": [
{
"address_1": "1500 S Ave K",
"address_2": "Station 3, SHROC",
"address_purpose": "LOCATION",
"city": "Portales",
"state": "NM",
"postal_code": "88130",
"country_code": "US",
"telephone_number": "575-562-4232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONISKO",
"first_name": "IRINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2022-10-02",
"certification_date": "2022-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "17210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD",
"identifier": "17210",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.