Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Los Banos

Individual provider Speech-Language Pathologist · NPI 1548507668

Nicole Los Banos is a Qualified Speech Language Pathologist in Long Beach, California. Qualified in 2012, 14 years ago. Practices as a sole proprietor and works from 10 locations. Licensed in California and Colorado.

Years since qualifying
14
Licensed in
CA, CO
In the registry since
2013
Specialties on file
2

Practice location Address checks out

4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000
Phone: (818) 894-2273
Fax: (818) 357-2505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 3356 W Ball Rd Ste 219, Anaheim, CA 92804-3728 — (818) 894-2273
  • 599 S Barranca Ave Ste 555, Covina, CA 91723-2791 — (818) 894-2273
  • 5806 Pacific Blvd, Huntington Park, CA 90255-2618 — (818) 894-2273
  • 6420 Wilshire Blvd Ste 600, Los Angeles, CA 90048-5521 — (818) 894-2273
  • 8929 Aero Dr Ste E, San Diego, CA 92123-2231 — (858) 277-2277
  • 10929 Sunnybrook Ln, Whittier, CA 90604-1707 — (562) 881-4987
  • 6320 Canoga Ave Fl 15, Woodland Hills, CA 91367-2563 — (818) 894-2273
  • 3920 W Charleston Blvd Ste Y, Las Vegas, NV 89102-1633 — (818) 894-2273
  • 1306 E Calvada Blvd, Pahrump, NV 89048-2797 — (818) 894-2273

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 21205 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP-3881 (CO)

Record details

NPI number1548507668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2013
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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