Pamela Fleurette Bloch, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12418 Issued in CA

Practice address

2021 Ygnacio Valley Rd Ste C202
Walnut Creek, CA 94598-3392

Phone

(925) 945-1474

NPI assigned

Mar 14, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• The Speech Pathology Group, Inc

  • Early Intervention Provider Agency
  • Walnut Creek, CA
  • NPI 1225378532
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1679076830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 MAGNOLIA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052330",
            "telephone_number": "510-599-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD STE C202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983392",
            "telephone_number": "925-945-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "PAMELA",
        "middle_name": "FLEURETTE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Earl Bland Jr., BCBA
• Hannah Blank, PHARM.D.
• Mariela Blas Ortega
• Jennifer W Blattner, CNM, RN
• Joy Sokolski Bloch, M.D.
• Trina Itoye Block
• Renee Bloise
• Courtnay Willcox Bloomer, M.D.
• Jessica Rene Bloomster
• Nicholas Alexander Blount

• Speech-Language Pathologist in Walnut Creek, CA
• Providers in Walnut Creek, 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 Mar 14, 2018; 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.