Active NPI
Paula Dumitriu
- Speech-Language Pathologist
- Pleasanton, CA
National Provider Identifier
1275925836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17999
- Practice address
- 555 Peters Ave Ste 110
Pleasanton, CA 94566-6595 - Phone
- (925) 337-9169
- NPI assigned
- Feb 19, 2015
- 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 | 17999 | CA | Primary |
Addresses
Primary practice location
555 Peters Ave Ste 110
Pleasanton, CA 94566-6595
Mailing address
899 Tanager Rd
Livermore, CA 94551-6052
Phone (510) 566-3257
Other practice location 1
899 Tanager Rd
Livermore, CA 94551-6052
Phone (925) 337-9169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251013000779 | CA | Practitioner - Qualified Speech Language Pathologist | 7517454853 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
555 Peters Ave
Suite 110
Pleasanton, CA 94566-6587
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Bloom LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Speech Bloom Language Pathology Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
555 Peters Ave
Ste 110
Pleasanton, CA 94566
Phone (925) 337-9169
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Pleasanton, CA
- NPI 1013723543
CA, Speech-Language Pathologist
-
- Speech-Language Pathologist
- Livermore, CA
- NPI 1093344335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1275925836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 TANAGER RD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945516052",
"telephone_number": "510-566-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 PETERS AVE STE 110",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666595",
"telephone_number": "925-337-9169"
}
],
"practiceLocations": [
{
"address_1": "899 Tanager Rd",
"address_purpose": "LOCATION",
"city": "Livermore",
"state": "CA",
"postal_code": "945516052",
"country_code": "US",
"telephone_number": "925-337-9169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUMITRIU",
"first_name": "PAULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "17999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.