FOG CITY SPEECH AND LANGUAGE THERAPY P.C.
NPI 1063137420
Speech-Language Pathologist in San Francisco, CA

Active since October 07, 2022
90 WOODACRE DR STE 101, SAN FRANCISCO, CA 94132(415) 827-8779 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2022, Oct 7, 2022 (2 updates tracked since 2022).

About Fog City Speech And Language Therapy P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOG CITY SPEECH AND LANGUAGE THERAPY P.C. (NPI 1063137420) is a healthcare organization registered as a speech-language pathologist in San Francisco, California and active in the NPI registry since October 2022. The organization lists Heather Hardie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063137420
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameFOG CITY SPEECH AND LANGUAGE THERAPY P.C.
Location Address90 WOODACRE DR STE 101San Francisco, CA 94132-1658
Mailing Address90 Woodacre Dr Ste 101San Francisco, CA 94132-1658
Organization SubpartNo
Authorized OfficialHeather HardieCeo · (415) 827-8779
Enumeration DateOctober 7, 2022
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1063137420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
90 WOODACRE DR STE 101, San Francisco, CA 94132

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fog City Speech And Language Therapy P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fog City Speech And Language Therapy P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Speech Language Pathologist
NPI 1568866630
90 WOODACRE DR STE 101
San Francisco, CA 94132
(415) 469-4988
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fog City Speech And Language Therapy P.C.'s NPI number?

The NPI number for Fog City Speech And Language Therapy P.C. is 1063137420. It was assigned to this organization in the NPPES registry on October 7, 2022.

Where is Fog City Speech And Language Therapy P.C. located?

Fog City Speech And Language Therapy P.C. is located at 90 Woodacre Dr Ste 101, San Francisco, CA 94132. The listed phone number is (415) 827-8779.

What is Fog City Speech And Language Therapy P.C.'s specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Fog City Speech And Language Therapy P.C. enrolled in Medicare?

Yes. Fog City Speech And Language Therapy P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fog City Speech And Language Therapy P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Fog City Speech And Language Therapy P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fog City Speech And Language Therapy P.C. was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.