HEIDI LINETTE BOLANOS
NPI 1013412337
Specialist/Technologist - Speech-Language Assistant in Pacoima, CA

Active since March 28, 2018
13066 VAN NUYS BLVD, PACOIMA, CA 91331(818) 206-8217 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heidi Linette Bolanos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI LINETTE BOLANOS (NPI 1013412337) is an individual speech-language assistant in Pacoima, California and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1013412337
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameHEIDI LINETTE BOLANOS
Location Address13066 VAN NUYS BLVDPacoima, CA 91331-2576
Mailing Address13066 Van Nuys BlvdPacoima, CA 91331-2576 · (818) 206-8217
Sole ProprietorNo
Enumeration DateMarch 28, 2018
✔ NPI 1013412337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
13066 VAN NUYS BLVD, Pacoima, CA 91331

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi Linette Bolanos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Heidi Bolanos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
75100 MEDITERRANEAN
Palm Desert, CA 92211
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Speech-Language Assistant)
13066 VAN NUYS BLVD
PACOIMA, CA 91331
Specialist/Technologist (Speech-Language Assistant)
13066 VAN NUYS BLVD
PACOIMA, CA 91331
Specialist/Technologist (Speech-Language Assistant)
13066 VAN NUYS BLVD
PACOIMA, CA 91331
Specialist/Technologist (Speech-Language Assistant)
13066 VAN NUYS BLVD
PACOIMA, CA 91331
Specialist/Technologist (Speech-Language Assistant)
13066 VAN NUYS BLVD
PACOIMA, CA 91331
Specialist/Technologist (Speech-Language Assistant)
13066 VAN NUYS BLVD
PACOIMA, CA 91331
Specialist/Technologist (Speech-Language Assistant)
13066 VAN NUYS BLVD
PACOIMA, CA 91331
Speech-Language Pathologist
13066 VAN NUYS BLVD
PACOIMA, CA 91331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Bolanos's NPI number?

The NPI number for Heidi Bolanos is 1013412337. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Heidi Bolanos located?

Heidi Bolanos practices at 13066 Van Nuys Blvd, Pacoima, CA 91331. The listed phone number is (818) 206-8217.

What is Heidi Bolanos's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

Is Heidi Bolanos enrolled in Medicare?

Yes. Heidi Bolanos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heidi Bolanos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Bolanos reassigns Medicare benefits to Easy Speech Pathology, Inc. (Palm Desert, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heidi Bolanos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heidi Bolanos was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.