Michael Gordon Bogdanoff, SLP MA JD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP13234 Issued in CA

Practice address

6000 Santa Rosa Rd
Camarillo, CA 93012-7101

Phone

(805) 388-8086

Fax

(805) 383-6700

NPI assigned

Feb 8, 2013

Last updated

Feb 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Master of Arts

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1023357134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLLIVAN TRAIL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "800-944-9782",
            "fax_number": "610-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SANTA ROSA RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127101",
            "telephone_number": "805-388-8086",
            "fax_number": "805-383-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOFF",
        "first_name": "MICHAEL",
        "middle_name": "GORDON",
        "credential": "SLP MA JD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP13234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Blum
• Kaitlin Blum, PT, DPT
• Sean Keller Blum, RN
• Jennifer L Boatright
• William Douglas Bocash, M.D.
• Susan Bolanos
• Bonaventure Clinic
• Angelique Perez Borchart, LMFT
• Scott C Borchart
• Gillian Borgeson, M.S.W.

• Speech-Language Pathologist in Camarillo, CA
• Providers in Camarillo, 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 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.