Kunal Ghosh

Key facts

NPI

1538089685

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

30633 (CA)

Practice address

706 N Diamond Bar Blvd Ste B
Diamond Bar, CA 91765-1059

Phone

(909) 396-8900

NPI assigned

Jul 20, 2026

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Pristine Rehab Care Early Intervention Provider Agency · Diamond Bar, CA · NPI 1093046286
  NPD (past)
• Pristine Rehabcare, Inc Early Intervention Provider Agency · Diamond Bar, CA · NPI 1518258532
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 20, 2026.

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1538089685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706B N DIAMOND BAR BLVD STE B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651038",
            "telephone_number": "909-396-8900",
            "fax_number": "909-396-8900"
        },
        {
            "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": [],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "KUNAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Diamond Bar, CA · Speech-Language Pathologist in California