Jada Marvin, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18396 Issued in CA

Practice address

14103 Winchester Blvd
Ste F
Los Gatos, CA 95032-1835

Phone

(408) 868-5577

Fax

(405) 868-5577

NPI assigned

Jun 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Silver Creek Fitness and Physical Therapy

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  • San Jose, CA
  • NPI 1063510337
  NPD (past)
• Silver Creek Physical Therapy Los Gatos PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1609273564
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1992186704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14103 WINCHESTER BLVD",
            "address_2": "STE F",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321835",
            "telephone_number": "405-868-5577",
            "fax_number": "405-868-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14103 WINCHESTER BLVD",
            "address_2": "STE F",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321835",
            "telephone_number": "408-868-5577",
            "fax_number": "405-868-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "JADA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Isabel Martinez
• Eleanor Martinez, M.D.
• Juliana C Martinez
• Natalia Martinez, DPT
• Tayler Nichol Martinez, PA-C
• Robert J Marx, MD
• Mary Jane Hutchins M.D. Inc
• Mary M Buxton LCSW, Inc
• Robbie Masangkay, NP
• Tony Masri, MD

• Speech-Language Pathologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.