Active NPI
Milia Zetterbaum, MS, CCC-SLP
- Speech-Language Pathologist
- Calabasas, CA
National Provider Identifier
1225367170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15887
- Practice address
- 26560 Agoura Rd Ste 110B
Calabasas, CA 91302-3530 - Phone
- (818) 207-3827
- NPI assigned
- Dec 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15887 | CA | Primary |
Addresses
Primary practice location
26560 Agoura Rd Ste 110B
Calabasas, CA 91302-3530
Mailing address
20366 Gault St
Winnetka, CA 91306-3422
Phone (818) 207-3827
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15887 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1225367170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20366 GAULT ST",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913063422",
"telephone_number": "818-207-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26560 AGOURA RD STE 110B",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913023530",
"telephone_number": "818-207-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZETTERBAUM",
"first_name": "MILIA",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "15887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.