Chandrashekar Vittalbabu

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

27712 Issued in CA

Practice address

1054 Carson Dr
Sunnyvale, CA 94086-5806

Phone

(408) 522-8267

NPI assigned

Jul 24, 2018

Last updated

Sep 8, 2018By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1346727187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 NEW JERSEY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951241529",
            "telephone_number": "408-600-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 CARSON DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940865806",
            "telephone_number": "408-522-8267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Lawrence Station Rd",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940892220",
            "country_code": "US",
            "telephone_number": "408-743-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITTALBABU",
        "first_name": "CHANDRASHEKAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Sunnyvale, CA
• Providers in Sunnyvale, 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 Sep 8, 2018; 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.