Healthcare Provider Details

I. General information

NPI: 1639583446
Provider Name (Legal Business Name): LAURA RILEY BATTAGLIESE M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA ASHLEY RILEY

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 BRUCEVILLE RD
SACRAMENTO CA
95823-4671
US

IV. Provider business mailing address

5820 OWENS DR BLDG E2ND
PLEASANTON CA
94588-3900
US

V. Phone/Fax

Practice location:
  • Phone: 916-688-2000
  • Fax:
Mailing address:
  • Phone: 916-688-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: