Organization Active NPI

Blossom Speech & Language Pathology Inc

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1639029523
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLOSSOM SPEECH & LANGUAGE PATHOLOGY INC
Practice address
1080 S la Cienega Blvd Ste 309
Los Angeles, CA 90035-2680
Phone
(818) 943-5116
Fax
(888) 435-8980
NPI assigned
Jan 30, 2026
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Miriam ShimoniNPI 1740693332
Title
President/Ceo
Phone
(818) 943-5116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1080 S la Cienega Blvd Ste 309
Los Angeles, CA 90035-2680

Mailing address

1080 S la Cienega Blvd Ste 309
Los Angeles, CA 90035-2680
Phone (818) 943-5116

National Provider Directory

National Provider Directory

Locations

1080 S La Cienega Blvd
Ste 309
Los Angeles, CA 90035
Phone (818) 943-5116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1639029523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 S LA CIENEGA BLVD STE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352680",
            "telephone_number": "818-943-5116",
            "fax_number": "888-435-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S LA CIENEGA BLVD STE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352680",
            "telephone_number": "818-943-5116",
            "fax_number": "888-435-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM SPEECH & LANGUAGE PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "SHIMONI",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-943-5116"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "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 Jan 30, 2026; 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.