Active NPI
Rajesh Hanumanthaiah
- Speech-Language Pathologist
- Monterey Park, CA
National Provider Identifier
1104214972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP15162
- Practice address
- 416 N Garfield Ave
Monterey Park, CA 91754-1203 - Phone
- (626) 572-8524
- NPI assigned
- Jan 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP15162 | CA | Primary |
Addresses
Primary practice location
416 N Garfield Ave
Monterey Park, CA 91754-1203
Mailing address
416 N Garfield Ave
Monterey Park, CA 91754-1203
Phone (626) 572-8524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP15162 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1104214972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 N GARFIELD AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541203",
"telephone_number": "626-572-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 N GARFIELD AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541203",
"telephone_number": "626-572-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANUMANTHAIAH",
"first_name": "RAJESH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP15162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.