Individual provider Active NPI

Melissa Mateo

  • Speech-Language Assistant
  • Los Angeles, CA
National Provider Identifier
1609747914
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
7868 Issued in CA
Practice address
3251 W 6TH St Ste 401
Los Angeles, CA 90020-5029
Phone
(310) 954-9614
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 7868 CA Primary

Addresses

Primary practice location

3251 W 6TH St Ste 401
Los Angeles, CA 90020-5029

Mailing address

292 S la Cienega Blvd Ste 250
Beverly Hills, CA 90211-3357
Phone (310) 954-9614

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

State licenses

LicenseStateTypeSpecialty
7868CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive and Shine Therapy CurrentSince Sep 21, 2025 Accepting new patients
Thrive and Shine Speech Therapy, Inc. CurrentSince Sep 21, 2025 Accepting new patients

Locations

292 S La Cienega Blvd
Ste 250
Beverly Hills, CA 90211
Phone (310) 866-9958

3251 W 6th St
Ste 401
Los Angeles, CA 90020
Phone (310) 954-9614

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1609747914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S LA CIENEGA BLVD STE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113357",
            "telephone_number": "310-954-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 W 6TH ST STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205029",
            "telephone_number": "310-954-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "7868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.