Active NPI
Sneha Kommu
- Speech-Language Pathologist
- Diamond Bar, CA
National Provider Identifier
1407460017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 706 N Diamond Bar Blvd Ste B
Diamond Bar, CA 91765-1059 - Phone
- (909) 396-8900
- NPI assigned
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CA | Primary |
Addresses
Primary practice location
706 N Diamond Bar Blvd Ste B
Diamond Bar, CA 91765-1059
Mailing address
140 Ivy Ave Unit F-47
Patterson, CA 95363-8569
Other practice location 1
775 N Hartley St
Patterson, CA 95363-2477
Phone (951) 743-6457
Other practice location 2
510 Keystone Blvd
Patterson, CA 95363-8861
Phone (951) 743-6457
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pristine Rehabcare, Inc | Past | Accepting new patients | |
| Pristine Rehab Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Diamond Bar, CA
- NPI 1093046286
-
- Early Intervention Provider Agency
- Diamond Bar, CA
- NPI 1518258532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1407460017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 IVY AVE UNIT F-47",
"city": "PATTERSON",
"state": "CA",
"postal_code": "953638569"
},
{
"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": "909-396-8900"
}
],
"practiceLocations": [
{
"address_1": "775 N Hartley St",
"address_purpose": "LOCATION",
"city": "Patterson",
"state": "CA",
"postal_code": "953632477",
"country_code": "US",
"telephone_number": "951-743-6457",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Keystone Blvd",
"address_purpose": "LOCATION",
"city": "Patterson",
"state": "CA",
"postal_code": "953638861",
"country_code": "US",
"telephone_number": "951-743-6457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOMMU",
"first_name": "SNEHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": null,
"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 Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.