Active NPI
Ruby Malloy Longo
- Speech-Language Assistant
- Los Angeles, CA
National Provider Identifier
1407709355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 10156
- Practice address
- 3031 Beverly Blvd Ste B
Los Angeles, CA 90057-1013 - Phone
- (323) 644-9380
- NPI assigned
- Feb 19, 2026
- 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 Assistant | 2355S0801X | 10156 | CA | Primary |
Addresses
Primary practice location
3031 Beverly Blvd Ste B
Los Angeles, CA 90057-1013
Mailing address
3031 Beverly Blvd Ste B
Los Angeles, CA 90057-1013
Other practice location 1
1111 W Covina Blvd Ste 100
San Dimas, CA 91773-3205
Phone (909) 675-7017
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10156 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1407709355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 BEVERLY BLVD STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 BEVERLY BLVD STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571013",
"telephone_number": "323-644-9380"
}
],
"practiceLocations": [
{
"address_1": "1111 W Covina Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "San Dimas",
"state": "CA",
"postal_code": "917733205",
"country_code": "US",
"telephone_number": "909-675-7017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGO",
"first_name": "RUBY",
"middle_name": "MALLOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-19",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "10156",
"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 Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.