Individual provider Active NPI

Tatyana Fedchik Medvedev

  • Speech-Language Pathologist
  • Long Beach, CA
National Provider Identifier
1184487464
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
40363 Issued in CA
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

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260302000363 CA Practitioner - Qualified Speech Language Pathologist 7416439369 Reassigns benefits to 1 organization

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
All Care Physical Therapy, PCGroup PAC ID 5890972335, 174 clinicians

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

LicenseStateTypeSpecialty
40363CAMDSpeech-Language Pathologist
70074811WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Physical Therapy, P.C. Speech-Language Pathologist CurrentSince Jan 17, 2026 Accepting new patients
The Hand & Upper Extremity Center Inc Past Accepting new patients
Pediatric Therapy Services Inc Speech-Language Pathologist PastSince Feb 4, 2024 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.

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.

Verify at the official NPI Registry.