Individual provider Active NPI

Swapnaja M Honnakore

  • Speech-Language Pathologist
  • Diamond Bar, CA
National Provider Identifier
1225575863
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP23658 Issued in CA
Practice address
706 N. Diamond Bar Blvd
B2
Diamond Bar, CA 91765
Phone
(909) 396-8900
Fax
(909) 396-9900
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP23658 CA Primary

Addresses

Primary practice location

706 N. Diamond Bar Blvd
B2
Diamond Bar, CA 91765

Mailing address

706 N. Diamond Bar Blvd
B2
Diamond Bar, NA 91765
UM
Phone (909) 396-8900

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

LicenseStateTypeSpecialty
SP23658CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pristine Rehabcare Inc Past Accepting new patients
Pristine Rehabcare, Inc Past Accepting new patients
Pristine Rehab Care Past Accepting new patients

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1225575863",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "706 N. DIAMOND BAR BLVD",
            "address_2": "B2",
            "city": "DIAMOND BAR",
            "state": "NA",
            "postal_code": "91765",
            "telephone_number": "909-396-8900",
            "fax_number": "909-396-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N. DIAMOND BAR BLVD",
            "address_2": "B2",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-396-8900",
            "fax_number": "909-396-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONNAKORE",
        "first_name": "SWAPNAJA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP23658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.