Healthcare Provider Details

I. General information

NPI: 1194221465
Provider Name (Legal Business Name): JADINE ONG VELUYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3568 CALANDRIA AVE
OAKLAND CA
94605-4406
US

IV. Provider business mailing address

3568 CALANDRIA AVE
OAKLAND CA
94605-4406
US

V. Phone/Fax

Practice location:
  • Phone: 408-504-3052
  • Fax:
Mailing address:
  • Phone: 408-504-3052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number38508
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: