Individual provider Active NPI

Thu Dao, B.A., SLPA

  • Speech-Language Assistant
  • Huntington Beach, CA
National Provider Identifier
1396186219
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SPA 2105 Issued in CA
Practice address
18700 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2030
Phone
(714) 962-6760
Fax
(714) 962-5961
NPI assigned
Jul 8, 2013
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SPA 2105 CA Primary

Addresses

Primary practice location

18700 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2030

Mailing address

18700 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2030
Phone (714) 962-6760

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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
SPA 2105CAMDSpeech-Language Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1396186219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 BEACH BLVD",
            "address_2": "SUITE 120",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482030",
            "telephone_number": "714-962-6760",
            "fax_number": "714-962-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 BEACH BLVD",
            "address_2": "SUITE 120",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482030",
            "telephone_number": "714-962-6760",
            "fax_number": "714-962-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "THU",
        "credential": "B.A., SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA 2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.