Individual provider Active NPI

Emiko Theresa-Beth Kubose

  • Speech-Language Pathologist
  • Madera, CA
National Provider Identifier
1174430177
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
38158 Issued in CA
Practice address
760 Market Ave W
Madera, CA 93636-8171
Phone
(559) 645-3530
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 38158 CA Primary

Addresses

Primary practice location

760 Market Ave W
Madera, CA 93636-8171

Mailing address

37479 Avenue 12
Madera, CA 93636-8726
Phone (559) 645-3570

Other practice location 1

36477 Ruth Ave
Madera, CA 93636-8512
Phone (559) 645-3540

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1174430177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37479 AVENUE 12",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368726",
            "telephone_number": "559-645-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MARKET AVE W",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368171",
            "telephone_number": "559-645-3530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36477 Ruth Ave",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936368512",
            "country_code": "US",
            "telephone_number": "559-645-3540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBOSE",
        "first_name": "EMIKO",
        "middle_name": "THERESA-BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "38158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.