Individual provider Active NPI

Eric Matthew Sailers, M.A., CCC-SLP

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1962658013
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP15985 Issued in CA
Practice address
9606 Tierra Grande St Ste 107
San Diego, CA 92126-6501
Phone
(858) 695-9415
NPI assigned
Aug 8, 2008
Last updated
Aug 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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 SP15985 CA Primary

Addresses

Primary practice location

9606 Tierra Grande St Ste 107
San Diego, CA 92126-6501

Mailing address

5648 Amaya Dr Unit 128
La Mesa, CA 91942-3673
Phone (619) 881-7495

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 Arts

State licenses

LicenseStateTypeSpecialty
SP15985CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1962658013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5648 AMAYA DR UNIT 128",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423673",
            "telephone_number": "619-881-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 TIERRA GRANDE ST STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266501",
            "telephone_number": "858-695-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAILERS",
        "first_name": "ERIC",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP15985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.