Individual provider Active NPI

Mara Sonya Kubrin, MS, SLP

  • Speech-Language Pathologist
  • San Francisco, CA
National Provider Identifier
1922501972
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
26366 Issued in CA
Practice address
40 Anzavista Ave Apt 4
San Francisco, CA 94115-3830
Phone
(415) 694-3813
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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 26366 CA Primary

Addresses

Primary practice location

40 Anzavista Ave Apt 4
San Francisco, CA 94115-3830

Mailing address

40 Anzavista Ave Apt 4
San Francisco, CA 94115-3830
Phone (415) 694-3813

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1922501972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ANZAVISTA AVE APT 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153830",
            "telephone_number": "415-694-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ANZAVISTA AVE APT 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153830",
            "telephone_number": "415-694-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBRIN",
        "first_name": "MARA",
        "middle_name": "SONYA",
        "credential": "MS, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.