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MR. JUSTIN M RAFFERTY CCC-SLP
NPI 1215443858
Speech-Language Pathologist in Oakland, CA

Active since December 19, 2017
3020 E 15TH ST, OAKLAND, CA 94601(510) 261-5613 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Justin M Rafferty Ccc-slp NPPES

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

MR. JUSTIN M RAFFERTY CCC-SLP (NPI 1215443858) is an individual speech-language pathologist provider in Oakland, California, licensed in California (21210) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1215443858
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. JUSTIN M RAFFERTYCredential: CCC-SLP
Location Address3020 E 15TH STOakland, CA 94601-2305
Mailing Address3021 E 7th StOakland, CA 94601-2836
Phone(510) 261-5613
Sole ProprietorNo
Enumeration DateDecember 19, 2017
✔ NPI 1215443858 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
Licenses✔ Licensed in CA · 21210✔ Licensed in MD · 12142355
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.
3020 E 15TH ST, Oakland, CA 94601
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRUITVALE OPERATING COMPANY, LP
Skilled Nursing Facility
3020 E 15TH ST
OAKLAND, CA 94601
Alameda County (510) 261-5613
SSC OAKLAND FRUITVALE OPERATING COMPANY LP
Skilled Nursing Facility
3020 E 15TH ST
OAKLAND, CA 94601
Alameda County (510) 261-5613
KIMBERLY CHIN
Occupational Therapist
3020 E 15TH ST
OAKLAND, CA 94601
Alameda County (510) 261-5613
FRUITVALE LONG TERM CARE LLC
Skilled Nursing Facility
3020 E 15TH ST
OAKLAND, CA 94601
Alameda County (510) 261-5613
STARR LINN STEPHENS P.T.
Physical Therapist
3020 E 15TH ST
OAKLAND, CA 94601
Alameda County (510) 261-5613

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 Justin Rafferty's NPI number?

The NPI number for Justin Rafferty is 1215443858. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Where is Justin Rafferty located?

Justin Rafferty practices at 3020 E 15th St, Oakland, CA 94601. The listed phone number is (510) 261-5613.

What is Justin Rafferty's specialty?

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

When was this NPI record last updated?

The NPPES record for Justin Rafferty was last updated on December 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.