Camila Sepulveda Sepulveda Mancilla

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

39816 Issued in CA

Practice address

29516 Kohoutek Way
Union City, CA 94587-1221

Phone

(510) 909-1271

NPI assigned

Jun 11, 2026

Last updated

Jun 11, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1912831165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 SHORELINE DR APT 320",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016208",
            "telephone_number": "925-878-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29516 KOHOUTEK WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871221",
            "telephone_number": "510-909-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA MANCILLA",
        "first_name": "CAMILA",
        "middle_name": "SEPULVEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "39816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Union City, CA
• Providers in Union City, 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 11, 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.