Active NPI
Fabiola Moy, MA CCC-SP
- Speech-Language Pathologist
- Long Beach, CA
National Provider Identifier
1881844629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP8298
- Practice address
- 3816 Woodruff Ave Ste 201
Long Beach, CA 90808-2145 - Phone
- (562) 260-8627
- NPI assigned
- Sep 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP8298 | CA | Primary |
Addresses
Primary practice location
3816 Woodruff Ave Ste 201
Long Beach, CA 90808-2145
Mailing address
3816 Woodruff Ave Ste 201
Long Beach, CA 90808-2145
Phone (562) 260-8627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007707559 | Other | CA | AETNA PIN |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP8298 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1881844629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 WOODRUFF AVE STE 201",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082145",
"telephone_number": "562-260-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 WOODRUFF AVE STE 201",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082145",
"telephone_number": "562-260-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOY",
"first_name": "FABIOLA",
"name_prefix": "Ms.",
"credential": "MA CCC-SP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP8298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "0007707559",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.