MAXIMA THERAPY AND SPEECH CLINIC, INC. (NPI# 1801100839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801100839 |
| Entity Type | Organization |
| Organization Name | MAXIMA THERAPY AND SPEECH CLINIC, INC. |
| Practice Address |
5217 Etiwanda Ave Tarzana CA 91356-4335 |
| Mailing Address |
3940 Laurel Canyon Blvd Suite 456 Studio City CA 91604-3709 |
| Practice Telephone | 5094301111 |
| Practice Fax Number | 8187047898 |
| Mailing Telephone | 8182878875 |
| Mailing Fax Number | 8187047898 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | MR. ANTON ZUBATOV (CEO) |
| Authorized Official Telephone | 5094301111 |
| Authorized Official Credential | B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
SP 13829 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ECA | 1942364526 | 01 |
| Street Address |
5217 ETIWANDA AVE |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942364526 | Marina Baskin | Speech-Language Pathologist | 5217 Etiwanda Ave, Tarzana, CA 91356-4335 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346658200 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489063 | Building Blocks Speech and Language Co. | Clinic/Center | 6508 Lonetree Blvd Ste 104, Rocklin, CA 95765-5885 | 2020-05-19 |
| 1982236683 | Sweet Speach Speech Pathology Services Inc | Clinic/Center | 639 Adams Ave, Los Banos, CA 93635-4701 | 2020-02-10 |
| 1760022115 | Sage Communication Clinic | Clinic/Center | 528 Arizona Ave Ste 317, Santa Monica, CA 90401-1440 | 2020-01-14 |
| 1548809841 | S P O T, Inc. | Clinic/Center | 20945 Devonshire St Ste 101b, Chatsworth, CA 91311-2370 | 2020-01-03 |
| 1518505155 | Cayla Kurland Speech-language Pathology, Inc. | Clinic/Center | 11669 Santa Monica Blvd Ste 206, Los Angeles, CA 90025-2992 | 2019-12-13 |
| 1902442130 | Stacy Golden | Clinic/Center | 1550 N Verdugo Rd Apt 37, Glendale, CA 91208-2834 | 2019-11-22 |
| 1265077762 | Rja Enterprises, Inc. | Clinic/Center | 44725 10th St W Ste 260, Lancaster, CA 93534-3049 | 2019-11-08 |
| 1710521414 | Rise Physical Therapy and Pilates Inc. | Clinic/Center | 1550 Parkside Dr, Walnut Creek, CA 94596-3515 | 2019-11-05 |
| 1376184267 | Salient Sound Audiology, Inc. | Clinic/Center | 7759 Herschel Ave Ste B, La Jolla, CA 92037-4478 | 2019-10-02 |
| 1467008581 | Sgv Hearing Aids LLC | Clinic/Center | 6751 Washington Ave, Whittier, CA 90601-4309 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.