Organization Active NPI

Speech Plan Inc

  • Speech-Language Pathologist
  • Sherman Oaks, CA
National Provider Identifier
1568024503
Registry record updated Jun 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH PLAN INC
Practice address
4533 Vista del Monte Ave Apt 305
Sherman Oaks, CA 91403-3069
Phone
(310) 425-4350
NPI assigned
Jun 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2019

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

Authorized official

Name
Shabnam Amiri
Title
Ceo
Phone
(310) 425-4350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4533 Vista del Monte Ave Apt 305
Sherman Oaks, CA 91403-3069

Mailing address

4533 Vista del Monte Ave Apt 305
Sherman Oaks, CA 91403-3069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513000342 CA Part B Supplier - Clinic/Group Practice 3476984147 Receives reassigned benefits from 2 practitioners
Practice locations: Encino, CA; Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

16200 Ventura Blvd
Ste 427
Encino, CA 91436
Phone (818) 746-3395

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": "1561852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561852800000",
    "number": "1568024503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 VISTA DEL MONTE AVE APT 305",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 VISTA DEL MONTE AVE APT 305",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033069",
            "telephone_number": "310-425-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-30",
        "last_updated": "2019-06-30",
        "status": "A",
        "authorized_official_last_name": "AMIRI",
        "authorized_official_first_name": "SHABNAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-425-4350"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; 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.