Organization Active NPI

Socal Speech Therapy & Swallowing Diagnostics Inc.

Doing business as SoCal Speech Therapy & Swallowing Diagnostics

  • Speech-Language Pathologist
  • Studio City, CA
National Provider Identifier
1518613397
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SOCAL SPEECH THERAPY & SWALLOWING DIAGNOSTICS INC.
Doing business as
SoCal Speech Therapy & Swallowing Diagnostics
Practice address
4383 Tujunga Ave Ste J
Studio City, CA 91604-2771
Phone
(818) 824-3070
Fax
(818) 301-3282
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Mr. Sean Joseph Miller, MA
Title
Administrator
Phone
(818) 824-3070

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4383 Tujunga Ave Ste J
Studio City, CA 91604-2771

Mailing address

11239 Ventura Blvd Ste 103
Studio City, CA 91604-3164
Phone (818) 824-3070

Other identifiers 1

IdentifierTypeStateIssuer
100502895MedicaidCA

Other names 1

  • SoCal Speech Therapy & Swallowing Diagnostics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@socalswallowdx.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220418000511 CA Part B Supplier - Clinic/Group Practice 0244627438 Receives reassigned benefits from 1 practitioner
Practice locations: Studio City, CA

National Provider Directory

National Provider Directory

Locations

11271 Ventura Blvd
#218
Studio City, CA 91604

4370 Tujunga Ave
Ste 150
Studio City, CA 91604
Phone (818) 416-9996

11239 Ventura Blvd
Ste 103
Studio City, CA 91604
Phone (323) 654-0777

4383 Tujunga Ave
Ste J
Studio City, CA 91604
Phone (818) 824-3070

11239 Ventura Blvd
Ste 103218
Studio City, CA 91604

Practitioners & affiliated clinicians

Practitioners 2

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": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1518613397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11239 VENTURA BLVD STE 103",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043164",
            "telephone_number": "818-824-3070",
            "fax_number": "818-301-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 TUJUNGA AVE STE J",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042771",
            "telephone_number": "818-824-3070",
            "fax_number": "818-301-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL SPEECH THERAPY & SWALLOWING DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-824-3070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502895",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@socalswallowdx.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4383 Tujunga Ave Ste J",
            "city": "Studio City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "916042771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SoCal Speech Therapy & Swallowing Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.