Active NPI
Maja Baluta
- Speech-Language Pathologist
- Brentwood, CA
National Provider Identifier
1275132359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19982
- Practice address
- 8660 Brentwood Blvd Ste C
Brentwood, CA 94513-5671 - Phone
- (925) 627-7474
- Fax
- (925) 420-6190
- NPI assigned
- Oct 20, 2020
- Last updated
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 19982 | CA | Primary |
Addresses
Primary practice location
8660 Brentwood Blvd Ste C
Brentwood, CA 94513-5671
Mailing address
4400 Corkwood CT
Concord, CA 94521-4327
Phone (408) 348-1912
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maja@speechjungle.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Jungle LLC | Current | Accepting new patients |
Locations
8660 Brentwood Blvd
Ste C
Brentwood, CA 94513
Phone (925) 626-7474
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1275132359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 CORKWOOD CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214327",
"telephone_number": "408-348-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8660 BRENTWOOD BLVD STE C",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945135671",
"telephone_number": "925-627-7474",
"fax_number": "925-420-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALUTA",
"first_name": "MAJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "19982",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "maja@speechjungle.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8660 Brentwood Blvd Ste C",
"city": "Brentwood",
"state": "CA",
"country_code": "US",
"postal_code": "945135671",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.