Individual provider Active NPI

Tak Nim Ho, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Arcadia, CA
National Provider Identifier
1154096410
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP20024 Issued in CA
Practice address
4075 E Live Oak Ave Ste B
Arcadia, CA 91006-5751
Phone
(785) 979-1967
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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 SP20024 CA Primary

Addresses

Primary practice location

4075 E Live Oak Ave Ste B
Arcadia, CA 91006-5751

Mailing address

4075 E Live Oak Ave Ste B
Arcadia, CA 91006-5751

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
SP20024CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxtops Speech Therapy Corporation Speech-Language Pathologist CurrentSince Feb 1, 2022 Accepting new patients

Locations

4075 E Live Oak Ave
Ste B
Arcadia, CA 91006
Phone (785) 226-5598

Organizations & group practices 1

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1154096410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 E LIVE OAK AVE STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 E LIVE OAK AVE STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065751",
            "telephone_number": "785-979-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "TAK NIM",
        "name_prefix": "Ms.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP20024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.