Individual provider Active NPI

Amanda Zabala, M.S, SLP

  • Speech-Language Pathologist
  • Loma Linda, CA
National Provider Identifier
1558739524
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10081 Issued in CA
Practice address
26035 Paxton PL
Loma Linda, CA 92354-6513
Phone
(909) 809-9073
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10081 CA Primary

Addresses

Primary practice location

26035 Paxton PL
Loma Linda, CA 92354-6513

Mailing address

26035 Paxton PL
Loma Linda, CA 92354-6513
Phone (909) 809-9073

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

LicenseStateTypeSpecialty
10081CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1558739524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26035 PAXTON PL",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546513",
            "telephone_number": "909-809-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26035 PAXTON PL",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546513",
            "telephone_number": "909-809-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALA",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "M.S, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.