NPIMap

Organization Active NPI

Infinity Professional Services Inc

  • Speech-Language Pathologist
  • Valley Village, CA
National Provider Identifier
1184081135
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP13836 Issued in CA
Legal business name
INFINITY PROFESSIONAL SERVICES INC
Practice address
5301 Laurel Canyon Blvd
Suite 245
Valley Village, CA 91607-2736
Phone
(818) 435-2960
Fax
(818) 435-2903
NPI assigned
Jan 21, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Subir Shome
Title
President
Phone
(818) 435-2960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP13836 CA Primary

Addresses

Primary practice location

5301 Laurel Canyon Blvd
Suite 245
Valley Village, CA 91607-2736

Mailing address

3406 W Wyoming Ave
Burbank, CA 91505-1807
Phone (818) 435-2960

National Provider Directory

National Provider Directory

Locations

5301 Laurel Canyon Blvd
Ste 245
Valley Village, CA 91607
Phone (818) 435-2960

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1184081135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 W WYOMING AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051807",
            "telephone_number": "818-435-2960",
            "fax_number": "818-435-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD",
            "address_2": "SUITE 245",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "818-435-2960",
            "fax_number": "818-435-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "SHOME",
        "authorized_official_first_name": "SUBIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-435-2960"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP13836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.