Organization Active NPI

Sga, LLC

  • Speech-Language Pathologist
  • Fremont, CA
National Provider Identifier
1932925500
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SGA, LLC
Practice address
46985 Lundy Ter
Fremont, CA 94539-7050
Phone
(510) 449-2092
NPI assigned
Nov 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sumaira Gul Mushtaq, ED. D., M.S, CCC-SLP
Title
President
Phone
(510) 449-2092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

46985 Lundy Ter
Fremont, CA 94539-7050

Mailing address

46985 Lundy Ter
Fremont, CA 94539-7050
Phone (510) 449-2092

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732752000000",
    "number": "1932925500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46985 LUNDY TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397050",
            "telephone_number": "510-449-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46985 LUNDY TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397050",
            "telephone_number": "510-449-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A",
        "authorized_official_last_name": "MUSHTAQ",
        "authorized_official_first_name": "SUMAIRA",
        "authorized_official_middle_name": "GUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-449-2092",
        "authorized_official_credential": "ED. D., M.S, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.