Mia Falco

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19446 Issued in CA

Practice address

8660 Brentwood Blvd Ste C
Brentwood, CA 94513-5671

Phone

(925) 626-7474

NPI assigned

Oct 19, 2020

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

Practice roles

Locations

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.

• Speech Jungle LLC

  • Hearing and Speech Clinic/Center
  • Brentwood, CA
  • NPI 1528680527
  NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1497354708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 BRENTWOOD BLVD STE C",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135671",
            "telephone_number": "925-626-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 BRENTWOOD BLVD STE C",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135671",
            "telephone_number": "925-626-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCO",
        "first_name": "MIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exodyne, Inc.
• Eyecare Galleria Optometry
• Jesse Michael Fa, D.D.S
• Bowra Faiez, LICENSED MFT
• Mushda Faiez
• Brianna Marie Farber
• Syed U. Farooq
• Kaden Noel Farsai
• Sophia Faylor
• Miranda Fedrizzi-McGlasson

• Speech-Language Pathologist in Brentwood, CA
• Providers in Brentwood, 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 19, 2020; 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.