SANDRA SAN JOSE CCC-SLP
NPI 1679176440
Speech-Language Pathologist in El Paso, TX

Active since November 16, 2020Accepts Medicare Assignment
7859 ENCHANTED PATH DR, EL PASO, TX 79911(732) 778-7018 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sandra San Jose Ccc-slp NPPES

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

SANDRA SAN JOSE CCC-SLP (NPI 1679176440) is an individual speech-language pathologist provider in El Paso, Texas, licensed in New Jersey (41YS00516600) and active in the NPI registry since November 2020. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1679176440
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSANDRA SAN JOSECredential: CCC-SLP
Location Address7859 ENCHANTED PATH DREl Paso, TX 79911-7513
Mailing Address7859 Enchanted Path DrEl Paso, TX 79911-7513 · (732) 778-7018
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
NPI 1679176440 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 NJ · 41YS00516600 Licensed in TX · 117453 Licensed in AZ · SLP12375
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.

7859 ENCHANTED PATH DR, El Paso, TX 79911

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandra San Jose 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.

PECOS PAC ID4880199520
PECOS Enrollment IDI20250924003167

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679176440, enumerated as an "individual" on November 16, 2020.

The provider is located at 7859 ENCHANTED PATH DR EL PASO, TX 79911 and the phone number is (732) 778-7018.

Speech-Language Pathologist with taxonomy code 235Z00000X.