Ravi Kiran Chilakamarri

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP15185 Issued in CA

Practice address

1740 S San Dimas Ave
San Dimas, CA 91773-5108

Phone

(909) 919-0836

NPI assigned

Mar 6, 2009

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)

Enrolled

State licenses

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1316188154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E PAYSON ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S SAN DIMAS AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917735108",
            "telephone_number": "909-919-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILAKAMARRI",
        "first_name": "RAVI",
        "middle_name": "KIRAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP15185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Chavez
• Nathan Edward Chavez
• Shih Ping Chen, PHARM D.
• Susan S Chen, PHARMACIST
• Ying-Ju Amanda Chen, CCC-SLP
• Alison Marie Chin
• Stephanie Chittivaranon
• Polly Chiu
• Michael S Choi, M.D.
• Stephen J Chow, PT

• Speech-Language Pathologist in San Dimas, CA
• Providers in San Dimas, 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 6, 2009; 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.