Active NPI
Miriam Fain, M.A. CCC-SLP
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1366739914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1111 W 6TH St
Suite 111;
Los Angeles, CA 90017-1800 - Phone
- (213) 607-4400
- NPI assigned
- Jul 5, 2011
- Last updated
- Nov 27, 2016
- 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 | NU | Primary |
Addresses
Primary practice location
1111 W 6TH St
Suite 111;
Los Angeles, CA 90017-1800
Mailing address
625 Fair Oaks Ave
Suite 300;
South Pasadena, CA 91030-2630
Phone (213) 607-4400
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480204800000",
"number": "1366739914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 FAIR OAKS AVE",
"address_2": "SUITE 300;",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302630",
"telephone_number": "213-607-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W 6TH ST",
"address_2": "SUITE 111;",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171800",
"telephone_number": "213-607-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "MIRIAM",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2016-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.