Individual provider Active NPI

Jose Roberto Laboy Davila

  • Speech-Language Pathologist
  • Oxnard, CA
National Provider Identifier
1649895947
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
29536 Issued in CA
Practice address
1901 N Rice Ave # 170180
Oxnard, CA 93030-7912
Phone
(805) 826-9000
Fax
(833) 294-4737
NPI assigned
Jun 11, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 29536 CA Primary

Addresses

Primary practice location

1901 N Rice Ave # 170180
Oxnard, CA 93030-7912

Mailing address

1420 Lombard St Apt 1707
Oxnard, CA 93030-8282
Phone (939) 216-5724

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlaboy@amigobaby.com

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
29536CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1649895947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 LOMBARD ST APT 1707",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308282",
            "telephone_number": "939-216-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N RICE AVE # 170180",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307912",
            "telephone_number": "805-826-9000",
            "fax_number": "833-294-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOY DAVILA",
        "first_name": "JOSE",
        "middle_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlaboy@amigobaby.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "1901 N Rice Ave # 170180",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930307912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.