Govardhanachary Vadla

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16382 Issued in CA

Practice address

9025 Colorado Ave
Riverside, CA 92503-2157

Phone

(951) 688-3636

NPI assigned

Feb 9, 2024

Sex

Male

Sole proprietor

No

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

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.

• Peepal Tree Therapy and Hearing Services

  • Speech-Language Pathologist
  • Corona, CA
  • NPI 1679429559
  NPD Authorized official
• Peepal Treetherapy and Hearing Services

  • Speech-Language Pathologist
  • Corona, CA
  • NPI 1679428718
  NPD Authorized official

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1205690351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 ALLEGRE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798874",
            "telephone_number": "917-312-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 COLORADO AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925032157",
            "telephone_number": "951-688-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADLA",
        "first_name": "GOVARDHANACHARY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Girlie Aquino Uy, DDS
• Michelle Uzowuru
• Angel Jose De Leon Vaca, M.D.
• Monica Vaca
• Janet Vadaparampil, MD
• Venkatram Vadlamudi
• Nileshkumar Batukbhai Vaghani, PHARM D.
• Farshid Mehraban Vahed, DDS
• Hanna Vairin
• Sheetal Vakil

• Speech-Language Pathologist in Riverside, CA
• Providers in Riverside, 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 Feb 9, 2024; 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.