Patrick Bang, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

35759 Issued in CA

Practice address

3562 Lookout CT Apt 473
Oceanside, CA 92056-5259

Phone

(925) 235-9777

NPI assigned

Nov 1, 2024

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1598588287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 LOOKOUT CT APT 473",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 LOOKOUT CT APT 473",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565259",
            "telephone_number": "925-235-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANG",
        "first_name": "PATRICK",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Quintero Baliscao, LCSW, CSAC
• Maria Dolores Ballesteros, LVN
• Sasha Balleza, CPNP
• Taylor Bandel, PT, DPT
• Donna Gayle Banfer, LVN
• Behzad Baniadam, M.D.
• Kathleen M Bankerd, CA HOME CARE AIDE
• Tia Banks, LCSW
• Darius Baradaran, PHARMD
• Richard R Barager, MD

• Speech-Language Pathologist in Oceanside, CA
• Providers in Oceanside, 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 Nov 1, 2024; 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.