Individual provider Active NPI

Mahta Shokouhbakhsh

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1942758800
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 22972 Issued in CA
Practice address
5175 Union Ave
San Jose, CA 95124-5497
Phone
(408) 377-8010
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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 SP 22972 CA Primary

Addresses

Primary practice location

5175 Union Ave
San Jose, CA 95124-5497

Mailing address

5175 Union Ave
San Jose, CA 95124-5497

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

State licenses

LicenseStateTypeSpecialty
SP 22972CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Union School District Past Accepting new patients
2020 Behavior LLC PastSince Dec 26, 2021 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1942758800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 UNION AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 UNION AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245497",
            "telephone_number": "408-377-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKOUHBAKHSH",
        "first_name": "MAHTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 22972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.