Organization Active NPI

Vital Speech and Swallow

  • Speech-Language Pathologist
  • Tarzana, CA
National Provider Identifier
1013245687
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CCC9644 Issued in CA
Legal business name
VITAL SPEECH AND SWALLOW
Practice address
5554 Reseda Blvd Ste 103
Tarzana, CA 91356-6221
Phone
(818) 708-7704
Fax
(818) 708-7707
NPI assigned
Nov 19, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natalie Zhitnitsky, SLPNPI 1699932004
Title
Owner
Phone
(818) 708-7704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CCC9644 CA Primary

Addresses

Primary practice location

5554 Reseda Blvd Ste 103
Tarzana, CA 91356-6221

Mailing address

5554 Reseda Blvd Ste 103
Tarzana, CA 91356-6221
Phone (818) 708-7704

National Provider Directory

National Provider Directory

Locations

5554 Reseda Blvd
Ste 103
Tarzana, CA 91356
Phone (818) 708-7704

20720 Ventura Blvd
Woodland Hills, CA 91364

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1013245687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 RESEDA BLVD STE 103",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566221",
            "telephone_number": "818-708-7704",
            "fax_number": "818-708-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 RESEDA BLVD STE 103",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566221",
            "telephone_number": "818-708-7704",
            "fax_number": "818-708-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SPEECH AND SWALLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "ZHITNITSKY",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-708-7704",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "CCC9644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.