ANDI DOCKTOR MA, CCC-SLP
NPI 1073150801
Speech-Language Pathologist in San Diego, CA
About Andi Docktor Ma, Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDI DOCKTOR MA, CCC-SLP (NPI 1073150801) is an individual speech-language pathologist provider in San Diego, California, licensed in California (26061) and active in the NPI registry since November 2019. She is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andi Docktor Ma, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Andi Docktor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 1,051 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92122
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 Andi Docktor's NPI number?
The NPI number for Andi Docktor is 1073150801. It was assigned to this individual provider in the NPPES registry on November 27, 2019.
Where is Andi Docktor located?
Andi Docktor practices at 8899 University Center Ln Ste 240, San Diego, CA 92122. The listed phone number is (858) 249-4070.
What is Andi Docktor's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Andi Docktor enrolled in Medicare?
Yes. Andi Docktor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Andi Docktor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andi Docktor reassigns Medicare benefits to Regents Of The University Of California (San Diego, CA). The 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 Andi Docktor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andi Docktor was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Andi Docktor, MA, CCC-SLP · NPI 1073150801
Speech-Language Pathologist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since November 27, 2019.
## Identity
- **NPI:** 1073150801 (Entity type: Individual)
- **Enumerated:** November 27, 2019
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 26061 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8899 UNIVERSITY CENTER LN STE 240, San Diego, CA 92122-1039
- **Phone:** (858) 249-4070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Regents Of The University Of California (NPI 1487772380, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1073150801) · Data from the CMS NPPES public registry.