Nobue Miyao-Baloy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP14548 Issued in CA

Practice address

2512 E Santa Fe Ave
Fullerton, CA 92831-4422

Phone

(714) 381-4740

NPI assigned

Oct 25, 2014

Last updated

Oct 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414195200000",
    "number": "1487059051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 E SANTA FE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E SANTA FE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314422",
            "telephone_number": "714-381-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAO-BALOY",
        "first_name": "NOBUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-25",
        "last_updated": "2014-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP14548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Loren Mitchell
• Lauren Mitchell
• Leslie Allyson Mitchell
• Sinclair Mitchell, AMFT
• Steven A Miyamoto, DDS
• Jenny Jeyoung Mo
• Justin Randall Mobley
• Brandon Thomas Mock, PA-C
• Sean Moghadam
• Shukri Mohamed

• Speech-Language Pathologist in Fullerton, CA
• Providers in Fullerton, 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 Oct 25, 2014; 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.