Natasha Bala

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

26242 Issued in CA

Practice address

187 Tank Farm Rd Ste 210
San Luis Obispo, CA 93401-7085

Phone

(805) 547-1755

Fax

(805) 439-2124

NPI assigned

Jul 10, 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

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Waves

  • Hearing and Speech Clinic/Center
  • San Luis Obispo, CA
  • NPI 1073122933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1861988032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 TANK FARM RD STE 210",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017085",
            "telephone_number": "805-279-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 TANK FARM RD STE 210",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017085",
            "telephone_number": "805-547-1755",
            "fax_number": "805-439-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "NATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Baker, ACSW
• Julie Ann Baker
• Yvonne P Baker
• Bakersfield Sleep Center (san luis sleep center)
• Suzanne Elizabeth Bakke, PA-C
• Amber Lynn Balais
• Balance Treatment Slo, Inc
• Miranda Balcazar
• Kenneth Leslie Baldwin, MD
• Larry Baldwin, M.D.

• Speech-Language Pathologist in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.