JERALDINE MEDINA GUTIERREZ (NPI# 1255952024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255952024 |
| Entity Type | Individual |
| Full Name | JERALDINE MEDINA GUTIERREZ |
| Credential | MASTER OF ARTS |
| Practice Address |
2780 26th Ave Oakland CA 94601-1911 |
| Mailing Address |
5612 Monaghan Way Antioch CA 94531-8671 |
| Practice Telephone | 5105361838 |
| Mailing Telephone | 9254378828 |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2020-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 14439 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
2780 26TH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295003 | Bellaken Health Group, Inc. | Skilled Nursing Facility | 2780 26th Ave, Oakland, CA 94601-1911 | 2005-06-15 |
| 1073066221 | Faimain Chow | Speech-Language Pathologist | 2780 26th Ave, Oakland, CA 94601-1911 | 2016-07-24 |
| 1477950236 | Nancy Fischer | Occupational Therapist | 2780 26th Ave, Oakland, CA 94601-1911 | 2014-11-21 |
| 1376951343 | Hao-ting Grace Wu | Occupational Therapist | 2780 26th Ave, Oakland, CA 94601-1911 | 2014-07-23 |
| 1689081622 | Jennifer Martling | Physical Therapy Assistant | 2780 26th Ave, Oakland, CA 94601-1911 | 2014-07-22 |
| 1821412792 | Joshua Cline | Physical Therapy Assistant | 2780 26th Ave, Oakland, CA 94601-1911 | 2014-02-12 |
| 1548683220 | Rocky Amagan | Physical Therapist | 2780 26th Ave, Oakland, CA 94601-1911 | 2014-01-30 |
| 1386073948 | Marisa Warner | Occupational Therapy Assistant | 2780 26th Ave, Oakland, CA 94601-1911 | 2013-11-04 |
| 1083051619 | Bethany Alice Keener | Occupational Therapist | 2780 26th Ave, Oakland, CA 94601-1911 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797432 | Roberta Elman | Speech-Language Pathologist | 3996 Lyman Rd, Oakland, CA 94602-1857 | 2020-07-19 |
| 1093354722 | Monique Dunn-little | Speech-Language Pathologist | 2101 Livingston St, Oakland, CA 94606-5218 | 2019-12-28 |
| 1306494281 | Elizabeth Uduehi | Speech-Language Pathologist | 3666 Grand Ave, Oakland, CA 94610-2046 | 2019-09-03 |
| 1659936193 | Tara Nelson | Speech-Language Pathologist | 2436 66th Ave, Oakland, CA 94605-1917 | 2019-05-09 |
| 1922560127 | Sarah Power | Speech-Language Pathologist | 3666 Grand Ave Ste A, Oakland, CA 94610-2046 | 2019-04-05 |
| 1649731589 | Manrup Khatkar | Speech-Language Pathologist | 2210 10th Ave Apt 105, Oakland, CA 94606-2656 | 2019-03-25 |
| 1205304441 | Ashley Kippins | Speech-Language Pathologist | 6325 Camden St, Oakland, CA 94605-1640 | 2018-11-06 |
| 1053809046 | Beatriz Elena Larroude | Speech-Language Pathologist | 3640 Grand Ave Ste 102, Oakland, CA 94610-2023 | 2018-04-25 |
| 1790272193 | Laura Paget | Speech-Language Pathologist | 311 Oak St Apt 715, Oakland, CA 94607-4613 | 2018-04-20 |
| 1972004091 | Sarah Halls | Speech-Language Pathologist | 3645 Grand Ave Ste 304, Oakland, CA 94610-2040 | 2018-02-23 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.