NPIMap

Organization Active NPI

Thrive and Shine: Speech-Language Pathology

  • Early Intervention Provider Agency
  • Los Angeles, CA
National Provider Identifier
1750708574
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
20444 Issued in CA
Legal business name
THRIVE AND SHINE: SPEECH-LANGUAGE PATHOLOGY
Practice address
8230 Beverly Blvd
#30
Los Angeles, CA 90048-4528
Phone
(310) 866-9958
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Neda Rezapoor
Title
Owner/Speech-Language Pathologist
Phone
(310) 866-9958

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20444 CA
Early Intervention Provider Agency 252Y00000X 20444 CA Primary

Addresses

Primary practice location

8230 Beverly Blvd
#30
Los Angeles, CA 90048-4528

Mailing address

8230 Beverly Blvd
#30
Los Angeles, CA 90048-4528
Phone (310) 866-9958

National Provider Directory

National Provider Directory

Locations

8230 Beverly Blvd
Ste 30
Los Angeles, CA 90048
Phone (310) 866-9958

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1750708574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 BEVERLY BLVD",
            "address_2": "#30",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484528",
            "telephone_number": "310-866-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 BEVERLY BLVD",
            "address_2": "#30",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484528",
            "telephone_number": "310-866-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE AND SHINE: SPEECH-LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "REZAPOOR",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "310-866-9958"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "20444",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "20444",
            "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 Mar 19, 2014; 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.