Natalia Jade Carbuccia, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19933 Issued in CA

Practice address

630 1St Ave
San Diego, CA 92101-6976

Phone

(619) 796-6280

NPI assigned

Oct 1, 2024

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

Credentials

Master of Science

Practice roles

Locations

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.

• Radiant Speech Therapy, Inc.

  dba Radiant Kids Therapy

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1275010548
  NPD

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1902624562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 20TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021807",
            "telephone_number": "619-777-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016976",
            "telephone_number": "619-796-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBUCCIA",
        "first_name": "NATALIA",
        "middle_name": "JADE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Steven Carbone, HMC, IDC, USN
• Joseph Carbone, MD
• Kenneth Carbone
• Marcus Carbone
• Sonia Carbonell, PSYD
• Samuel Carcamo
• Leigh-Ann Cardelfe, LCSW
• Daniel Cardenal Castro, M.D
• Mirna Lizeth Cardenas Diaz
• Kristal Cardenas-Gachupin, CATC

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, 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 Apr 24, 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.