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ALEXANDER EDWARDS MS CCC SLP
NPI 1740051069
Speech-Language Pathologist in San Rafael, CA

Active since January 15, 2024
1650 LOS GAMOS DR, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: January 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alexander Edwards Ms Ccc Slp NPPES

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

ALEXANDER EDWARDS MS CCC SLP (NPI 1740051069) is an individual speech-language pathologist provider in San Rafael, California, licensed in California (18823) and active in the NPI registry since January 2024. He maintains a secondary practice location in Burlingame.

NPPES Registry Identity

NPI1740051069
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameALEXANDER EDWARDSCredential: MS CCC SLP
Location Address1650 LOS GAMOS DRSan Rafael, CA 94903-1850
Mailing Address1227 Anza St Apt 7San Francisco, CA 94118-3941 · (818) 518-3417
Phone(415) 444-2000
Sole ProprietorNo
Enumeration DateJanuary 15, 2024
Last NPPES UpdateJanuary 1, 2025
NPPES CertifiedJanuary 1, 2025
✔ NPI 1740051069 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
License✔ Licensed in CA · 18823
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.
1650 LOS GAMOS DR, San Rafael, CA 94903
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Other Names 1

Professional Name (2)Londyn Edwards Ms Ccc Slp

Secondary Practice Location 1

Location 11209 Howard Ave Ste 200Burlingame, CA 94010-4229 · Phone (650) 344-9961

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Edwards Ms Ccc Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alexander Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
11 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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

Other Providers at the Same Location NPPES 20

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

MAITRI MEHTA DO
Family Medicine
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
GEORGIA CROWE
Occupational Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
DR. MERCEDES TRAVERSO D.O.
Pediatrics
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-4460
JULIA SYLVIE BETCHART DPT
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
DAVID RHYOO PHARMD
Pharmacist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
SIMON CARNE DPT
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (240) 595-0449
JASMINE DHALIWAL MD
Family Medicine
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
VINCE ANGELO ANGALOT ASUNCION
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2962

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 Alexander Edwards's NPI number?

The NPI number for Alexander Edwards is 1740051069. It was assigned to this individual provider in the NPPES registry on January 15, 2024. The provider is also known as Londyn Edwards Ms Ccc Slp.

Where is Alexander Edwards located?

Alexander Edwards practices at 1650 Los Gamos Dr, San Rafael, CA 94903. The listed phone number is (415) 444-2000.

What is Alexander Edwards's specialty?

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

Is Alexander Edwards enrolled in Medicare?

Yes. Alexander Edwards is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexander Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Edwards reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Alexander Edwards'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 Alexander Edwards was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.