Active NPI
Tatyana Fedchik Medvedev
- Speech-Language Pathologist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 40363
- Practice address
- 4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000 - Phone
- (818) 894-2273
- Fax
- (818) 357-2505
- NPI assigned
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 40363 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 70074811 | WA |
Addresses
Primary practice location
4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000
Mailing address
304 NE Hood Ave
Gresham, OR 97030-7450
Phone (503) 666-1333
Other practice location 1
3356 W Ball Rd Ste 219
Anaheim, CA 92804-3728
Phone (818) 894-2273
Other practice location 2
8929 Aero Dr Ste E
San Diego, CA 92123-2231
Phone (858) 277-2277
Other practice location 3
6320 Canoga Ave Fl 15
Woodland Hills, CA 91367-2563
Phone (818) 894-2273
Other practice location 4
6420 Wilshire Blvd Ste 600
Los Angeles, CA 90048-5521
Phone (818) 894-2273
Other practice location 5
304 NE Hood Ave
Gresham, OR 97030-7450
Phone (503) 666-1333
Other practice location 6
5806 Pacific Blvd
Huntington Park, CA 90255-2618
Phone (818) 894-2273
Other practice location 7
599 S Barranca Ave Ste 555
Covina, CA 91723-2791
Phone (818) 894-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25101 The Old Rd
Santa Clarita, CA 91381-2206
Phone (877) 757-8353
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40363 | CA | MD | Speech-Language Pathologist |
| 70074811 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Care Physical Therapy, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| The Hand & Upper Extremity Center Inc | Past | Accepting new patients | |
| Pediatric Therapy Services Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
3356 W Ball Rd
Ste 219
Anaheim, CA 92804
599 S Barranca Ave
Ste 555
Covina, CA 91723
Phone 81889422731025
5806 Pacific Blvd
Huntington Park, CA 90255
4300 Long Beach Blvd
Ste 700
Long Beach, CA 90807
6420 Wilshire Blvd
Ste 600
Los Angeles, CA 90048
Phone 81889422731025
8929 Aero Dr
Ste E
San Diego, CA 92123
Phone (858) 277-2277
25101 The Old Rd
Stevenson Ranch, CA 91381
Phone (661) 230-8701
6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Woodland Hills, CA
- NPI 1104120385
Speech-Language Pathologist
-
- Hand Occupational Therapist
- Simi Valley, CA
- NPI 1730360561
-
- Pediatric Occupational Therapist
- Gresham, OR
- NPI 1700842531
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1184487464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 NE HOOD AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307450",
"telephone_number": "503-666-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 LONG BEACH BLVD STE 700",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072000",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505"
}
],
"practiceLocations": [
{
"address_1": "3356 W Ball Rd Ste 219",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928043728",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8929 Aero Dr Ste E",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921232231",
"country_code": "US",
"telephone_number": "858-277-2277",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6320 Canoga Ave Fl 15",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913672563",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6420 Wilshire Blvd Ste 600",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900485521",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "304 NE Hood Ave",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970307450",
"country_code": "US",
"telephone_number": "503-666-1333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5806 Pacific Blvd",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902552618",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "599 S Barranca Ave Ste 555",
"address_purpose": "LOCATION",
"city": "Covina",
"state": "CA",
"postal_code": "917232791",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDVEDEV",
"first_name": "TATYANA",
"middle_name": "FEDCHIK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-31",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "40363",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "70074811",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.