Moises Fabian Meneses Jr., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12912 Issued in CA

Practice address

29516 Kohoutek Way
Union City, CA 94587-1221

Phone

(510) 441-8240

NPI assigned

Oct 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ascend Pediatrics Inc.

  • Developmental Disabilities Clinic/Center
  • Union City, CA
  • NPI 1477498723
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1992270987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29516 KOHOUTEK WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871221",
            "telephone_number": "510-441-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29516 KOHOUTEK WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871221",
            "telephone_number": "510-441-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENESES",
        "first_name": "MOISES",
        "middle_name": "FABIAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "275 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Prachi Mehta, DDS
• Renee Mejia
• Sophia Melendez Orozco, SLP
• Rose M Melgar, M.D.
• Tania Elizabeth Mendez-Chavez
• Lucia Carolina Meza Castro, M.S., CCC-SLP
• Joyce Rebeca Meza, M.D.
• MHN Government Services LLC
• Michael Suh DDS Dental Practice PC
• Rebecca Mikkelsen

• Speech-Language Pathologist in Union City, CA
• Providers in Union City, 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 Feb 11, 2022; 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.