Organization Active NPI

Bloom Speech and Language Therapy, PC

  • Speech-Language Pathologist
  • Ontario, CA
National Provider Identifier
1487546214
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLOOM SPEECH AND LANGUAGE THERAPY, PC
Practice address
3026 E Black Horse Dr
Ontario, CA 91761-9176
Phone
(909) 239-2815
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Sasha Khawaja, CCC-SLPNPI 1326491507
Title
Owner
Phone
(909) 239-2815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3026 E Black Horse Dr
Ontario, CA 91761-9176

Mailing address

3026 E Black Horse Dr
Ontario, CA 91761-9176

Other names 1

  • Bloom Speech Company Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1487546214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 E BLACK HORSE DR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 E BLACK HORSE DR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619176",
            "telephone_number": "909-239-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM SPEECH AND LANGUAGE THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "KHAWAJA",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-239-2815",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Speech Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.