Jayakumar Jayarajan, SPEECH PATHOLOGIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP15876 Issued in CA

Practice address

11124 Donnelly St
Rancho Cucamonga, CA 91701-7734

Phone

(909) 908-1292

NPI assigned

Dec 12, 2013

Last updated

Dec 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1013348317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 DONNELLY ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917017734",
            "telephone_number": "909-908-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 DONNELLY ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917017734",
            "telephone_number": "909-908-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAJAN",
        "first_name": "JAYAKUMAR",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP15876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Michael Jaurigui, LCSW
• Sheila Javadi, OD
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• Janika Ylanda Capulong Javier
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• Samantha Jefferson, RBT
• Leslie Jeffery

• Speech-Language Pathologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.