Healthcare Provider Details

I. General information

NPI: 1376448530
Provider Name (Legal Business Name): NADIA ANDREA UBILLA GATICA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 5TH ST
RICHMOND CA
94801-2654
US

IV. Provider business mailing address

6701 KOLL CENTER PKWY STE 250
PLEASANTON CA
94566-8062
US

V. Phone/Fax

Practice location:
  • Phone: 510-231-1407
  • Fax:
Mailing address:
  • Phone: 925-500-8383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number32669
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: