Sonal Pathak, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP19658 Issued in CA

Practice address

706 N Diamond Bar Blvd Ste B
Diamond Bar, CA 91765-1059

Phone

(909) 861-3423

NPI assigned

Mar 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Pristine Rehabcare, Inc

  • Early Intervention Provider Agency
  • Diamond Bar, CA
  • NPI 1518258532
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1184990822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 GREEN VALLEY CIR UNIT 306",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902308058",
            "telephone_number": "310-699-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N DIAMOND BAR BLVD STE B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651059",
            "telephone_number": "909-861-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "SONAL",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP19658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP BOARD-CA",
            "identifier": "SP19658",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA, AMERICAN SPEECH AND HEARING ASSOCIATION.",
            "identifier": "14030887",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Tolentino Pascua, PTA
• Dilipkumar G Patel, DDS
• Rajul K Patel, DDS
• Romi Rajul Patel, DDS
• Shagufta Patel, DPT
• Jonathan Michael Patuwo, DDS
• Paula G. Elmi, DMD, Apc
• Paulson-Chen Medical Associates, PC
• Chase Michael Paulson, MS, ATC
• Peace of Mind Home Healthcare

• Speech-Language Pathologist in Diamond Bar, CA
• Providers in Diamond Bar, 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 27, 2012; 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.