ANTHONY VIDAURRI AVITABILE (NPI# 1083259329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083259329 |
| Entity Type | Individual |
| Full Name | ANTHONY VIDAURRI AVITABILE |
| Practice Address |
13223 Black Mountain Rd # 1358 San Diego CA 92129-2698 |
| Practice Telephone | 8587535082 |
| Mailing Telephone | 8587535082 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 28983 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518942341 | Anthony Avitabile Jr. | Family Medicine | 6106 Shallowford Rd Ste 104, Chattanooga, TN 37421-2280 | 2005-12-14 |
| Street Address |
13223 BLACK MOUNTAIN RD # 1358 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92129-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730333469 | Crystal Cobos | Physical Therapist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2008-11-07 |
| 1497355648 | Michelle Ortega | Speech-Language Pathologist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2020-10-27 |
| 1689208910 | Kelly Danica Watson | Occupational Therapist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2020-02-25 |
| 1720611809 | Charlene Navarro | Occupational Therapist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2020-02-18 |
| 1922641208 | Ya-tzu Chang | Speech-Language Pathologist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2019-10-19 |
| 1255973780 | Katherine Mckell | Speech-Language Pathologist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2019-10-16 |
| 1619522711 | Natasha Brar | Speech-Language Pathologist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2019-08-06 |
| 1407324825 | Taylor Marie Walter | Physical Therapist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2018-11-03 |
| 1902383995 | Laura Agyeman | Speech-Language Pathologist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2018-07-23 |
| 1952846180 | Kennedy Louise Marker | Occupational Therapist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2016-12-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053836718 | Emily Anne Haven | Physical Therapist | 9351 Vervain Street, San Diego, CA 92129 | 2017-08-03 |
| 1366802944 | Katie Nguyen | Pharmacist | 13014 Lemon Pine Ct, San Diego, CA 92129 | 2016-02-25 |
| 1588029912 | Larry Labossiere II | Registered Nurse | 8195 Torrey Gardens Place, San Diego, CA 92129 | 2015-12-30 |
| 1184034746 | Jim S Chang | Dentist | 12798 Rancho Penasquitos Blvd # 1, San Diego, CA 92129 | 2014-05-05 |
| 1841627593 | John Richard Codington | Dentist | 9728 Carmel Mountain Ro., Suite B, San Diego, CA 92129 | 2013-09-26 |
| 1407298284 | Michael Saade | Dentist | 9310 Carmel Mountain Rd Ste A, San Diego, CA 92129 | 2013-07-22 |
| 1801141338 | Satnick Chiropractic | Acupuncturist | 12880 Rancho Penasquitos Blvd, Steb, San Diego, CA 92129 | 2012-07-20 |
| 1558627463 | Louise Jeremia Gatchalian Angelo | Student in an Organized Health Care Education/Training Program | 9434 Twin Trails Dr, Unit 201, San Diego, CA 92129 | 2012-04-04 |
| 1093965477 | Joanne C Vargas-velasco | Dentist | 12580 Ragweed Street, San Diego, CA 92129 | 2008-09-23 |
| 1699960377 | Robert B Case | Social Worker | 12602 Spindletop Rd, San Diego, CA 92129 | 2007-09-06 |
| Find all providers in zip 92129 | ||||
| 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 |
|---|---|---|---|---|
| 1922605898 | Little Rose Speech Therapy, Inc. | Speech-Language Pathologist | 11990 Stoney Peak Dr Apt 1106, San Diego, CA 92128-6481 | 2020-10-05 |
| 1710594122 | Chelsea A Johnson | Speech-Language Pathologist | 325 W Washington St Ste 2-143, San Diego, CA 92103-1946 | 2020-09-29 |
| 1770195083 | Emma Kotsher | Speech-Language Pathologist | 2081 Cable St, San Diego, CA 92107-2573 | 2020-08-18 |
| 1891310165 | Ingrid Wolfer Exerjian | Speech-Language Pathologist | 1844 Malden St, San Diego, CA 92109-2208 | 2020-06-12 |
| 1326663014 | Fernanda Manriquez | Speech-Language Pathologist | 2751 Roosevelt Rd # 205, San Diego, CA 92106-6180 | 2020-06-09 |
| 1588288567 | Samantha Sandler | Speech-Language Pathologist | 2975 Euclid Ave Apt 10, San Diego, CA 92105-3690 | 2020-06-04 |
| 1225652910 | Laura L Kishaba | Speech-Language Pathologist | 13343 Samantha Ave, San Diego, CA 92129-2164 | 2020-05-29 |
| 1003436643 | Carrie Chouinard | Speech-Language Pathologist | 7836 Mission Montana Pl, San Diego, CA 92120-1543 | 2020-04-23 |
| 1801424023 | Chelsey Jean Krug | Speech-Language Pathologist | 9114 Flanders Dr, San Diego, CA 92126-2827 | 2020-04-01 |
| 1104452978 | Joyride Therapeutic Adventures | Speech-Language Pathologist | 3064 Thorn St, San Diego, CA 92104-4639 | 2020-03-12 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on ANTHONY VIDAURRI AVITABILE.
| 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.