Active NPI
Danielle Baltazar, M.S., CCC-SLP
- Speech-Language Pathologist
- Playa del Rey, CA
National Provider Identifier
1508849571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14421
- Practice address
- 405 Culver Blvd
#112
Playa del Rey, CA 90293-7767 - Phone
- (310) 403-4015
- NPI assigned
- Nov 23, 2005
- 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 Pathologist | 235Z00000X | 14421 | CA | Primary |
Addresses
Primary practice location
405 Culver Blvd
#112
Playa del Rey, CA 90293-7767
Mailing address
405 Culver Blvd
#112
Playa del Rey, CA 90293-7769
Phone (310) 403-4015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PW5203 | Other | CA | MEDI-CAL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14421 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508849571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 CULVER BLVD",
"address_2": "#112",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937769",
"telephone_number": "310-403-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 CULVER BLVD",
"address_2": "#112",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937767",
"telephone_number": "310-403-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALTAZAR",
"first_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "14421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "PW5203",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Playa del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.