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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: August 09, 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
Phone(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
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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 NPPES & CMS

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

What is Sandra San Jose's NPI number?

The NPI number for Sandra San Jose is 1679176440. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Where is Sandra San Jose located?

Sandra San Jose practices at 7859 Enchanted Path Dr, El Paso, TX 79911. The listed phone number is (732) 778-7018.

What is Sandra San Jose's specialty?

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

Is Sandra San Jose enrolled in Medicare?

Yes. Sandra San Jose 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.

When was this NPI record last updated?

The NPPES record for Sandra San Jose was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.