Individual provider Active NPI

Maria Obenhaus, SLP

  • Speech-Language Pathologist
  • Lakewood, CA
National Provider Identifier
1639503261
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 24479 Issued in CA
Practice address
5132 Premiere Ave
Lakewood, CA 90712-2714
Phone
(562) 231-7174
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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 SP 24479 CA Primary

Addresses

Primary practice location

5132 Premiere Ave
Lakewood, CA 90712-2714

Mailing address

5132 Premiere Ave
Lakewood, CA 90712-2714

Other practice location 1

12411 Slauson Ave
Unit H
Whittier, CA 90606-2835
Phone (562) 693-5449

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
SP 24479CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blossoming Communication Speech Therapy Corporation Speech-Language Pathologist CurrentSince Feb 9, 2025 Accepting new patients

Locations

2599 E 28th St
Ste 206
Signal Hill, CA 90755
Phone (562) 231-7174

Organizations & group practices 1

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1639503261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 PREMIERE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 PREMIERE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122714",
            "telephone_number": "562-231-7174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12411 Slauson Ave",
            "address_2": "Unit H",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906062835",
            "country_code": "US",
            "telephone_number": "562-693-5449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBENHAUS",
        "first_name": "MARIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 24479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.