Margaret Vannia Nellickal

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19653 Issued in CA

Practice address

8265 White Oak Ave
Rancho Cucamonga, CA 91730-7671

Phone

(909) 373-1641

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1073214227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 ANTERO CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364646",
            "telephone_number": "310-989-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8265 WHITE OAK AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307671",
            "telephone_number": "909-373-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLICKAL",
        "first_name": "MARGARET VANNIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Neal
• Marquis Neal
• Lydia Negrete
• Johnny Negusse, MD
• Halleh Nejad, PHARMD
• Cindy Nelson
• David Nelson, PSY.D.
• Karlie Ann Nelson
• Michael Nelson, RASI
• Tyler Samone Nelson

• 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 Mar 14, 2023; 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.