Speech Bloom Language Pathology Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECH BLOOM LANGUAGE PATHOLOGY INC.

Practice address

555 Peters Ave Ste 110
Pleasanton, CA 94566-6595

Phone

(925) 337-9169

NPI assigned

Dec 9, 2024

Last updated

Feb 17, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paula DumitriuNPI 1275925836

Title

President

Phone

(925) 337-9169

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paula Dumitriu

  • Speech-Language Pathologist
  • Pleasanton, CA
  • NPI 1275925836
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1013723543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PETERS AVE STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666595",
            "telephone_number": "925-337-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PETERS AVE STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666595",
            "telephone_number": "925-337-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH BLOOM LANGUAGE PATHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "DUMITRIU",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-337-9169"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.