Individual provider Active NPI

Charina Non

  • Speech-Language Pathologist
  • South San Francisco, CA
National Provider Identifier
1922606482
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30015 Issued in CA
Practice address
214 Holly Ave Apt 54
South San Francisco, CA 94080-1387
Phone
(650) 307-0472
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 30015 CA Primary

Addresses

Primary practice location

214 Holly Ave Apt 54
South San Francisco, CA 94080-1387

Mailing address

214 Holly Ave Apt 54
South San Francisco, CA 94080-1387
Phone (650) 307-0472

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1922606482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOLLY AVE APT 54",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801387",
            "telephone_number": "650-307-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HOLLY AVE APT 54",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801387",
            "telephone_number": "650-307-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NON",
        "first_name": "CHARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.