Individual provider Active NPI

Jessica Blois, M.A.

  • Speech-Language Pathologist
  • San Mateo, CA
National Provider Identifier
1144532854
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17514 Issued in CA
Practice address
596 Fiesta Dr
San Mateo, CA 94403-1433
Phone
(805) 551-2441
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17514 CA Primary

Addresses

Primary practice location

596 Fiesta Dr
San Mateo, CA 94403-1433

Mailing address

596 Fiesta Dr
San Mateo, CA 94403-1433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
17514CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Therapy Services Speech-Language Pathologist CurrentSince Feb 2, 2025 Accepting new patients
Fox Therapy Services Current Accepting new patients

Locations

31822 Village Center Rd
Ste 107
Westlake Vlg, CA 91361
Phone (818) 532-7884

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1144532854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 FIESTA DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 FIESTA DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031433",
            "telephone_number": "805-551-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOIS",
        "first_name": "JESSICA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.