Individual provider Active NPI

Paula Dumitriu

  • Speech-Language Pathologist
  • Pleasanton, CA
National Provider Identifier
1275925836
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17999 Issued in CA
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

Updated by the provider on Feb 17, 2025

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 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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Speech Bloom LLC Speech-Language Pathologist CurrentSince Feb 23, 2025 Accepting new patients
Speech Bloom Language Pathology Inc. Speech-Language Pathologist CurrentSince Aug 1, 2025 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.

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.

Verify at the official NPI Registry.