Stephanie Boayes Obusan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3521 Lomita Blvd Ste 201
Torrance, CA 90505-5040

Phone

(310) 856-8528

NPI assigned

Aug 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• South Bay Speech Therapy Clinic, PC

  • Hearing and Speech Clinic/Center
  • Torrance, CA
  • NPI 1144885344
  Medicare reassignment
• Lynne Alba Speech Therapy Solutions, P.C.

  • Speech-Language Pathologist
  • Torrance, CA
  • NPI 1780068734
  NPD (past)

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1447704341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 257TH ST APT 9",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102761",
            "telephone_number": "310-529-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 LOMITA BLVD STE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055040",
            "telephone_number": "310-856-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBUSAN",
        "first_name": "STEPHANIE",
        "middle_name": "BOAYES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA 3418",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinyere Sarah Obasi
• Catherine L Oberg, M.D.
• Meena Oberoi, M.D.
• Nmachi Obiwuru, OTD, OTR/L
• Derek Oblinger
• Keven Ocampo-Gonzalez
• Leslie Melina Ocampo, MD
• Occupational and Hand Therapy Ctr
• Occupational Health Centers of California, a Medical Corporation
• Occupational Health Partners Medical Group Inc

• Speech-Language Pathologist in Torrance, CA
• Providers in Torrance, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.