Individual provider Active NPI

Maja Baluta

  • Speech-Language Pathologist
  • Brentwood, CA
National Provider Identifier
1275132359
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19982 Issued in CA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Speech Jungle LLC CurrentSince Oct 25, 2020 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.

Verify at the official NPI Registry.