Active NPI
Julie Ortiz
- Speech-Language Pathologist
- Hayward, CA
National Provider Identifier
1992193411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 20589
- Practice address
- 25919 Gading Rd
Hayward, CA 94544-2725 - Phone
- (510) 782-8424
- NPI assigned
- Jan 6, 2015
- Last updated
- Jan 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 20589 | CA | Primary |
Addresses
Primary practice location
25919 Gading Rd
Hayward, CA 94544-2725
Mailing address
2849 Saint Denis Dr
San Ramon, CA 94583-2731
Phone (925) 350-3674
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20589 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
17 Louie Ave
Lodi, CA 95240
Phone (209) 369-8282
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
400 Route 70
Lakewood, NJ 08701
Phone (609) 805-1686
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1639766603
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1992193411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2849 SAINT DENIS DR",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945832731",
"telephone_number": "925-350-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25919 GADING RD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945442725",
"telephone_number": "510-782-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JULIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "20589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.