Active NPI
Sudhamani Hosahalli Lakkanna, SLP
- Audiologist
- Fremont, CA
National Provider Identifier
1629124839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 1622
- Practice address
- 200 Brown Rd
Suite #204
Fremont, CA 94539-7955 - Phone
- (510) 565-4596
- NPI assigned
- Jan 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 1622 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | SP 8678 | CA |
Addresses
Primary practice location
200 Brown Rd
Suite #204
Fremont, CA 94539-7955
Mailing address
40878 Marty Ter
Fremont, CA 94539-4459
Phone (510) 565-4596
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU 1622 | CA | MD | Audiologist |
| SP 8678 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1629124839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40878 MARTY TER",
"city": "FREMONT",
"state": "CA",
"postal_code": "945394459",
"telephone_number": "510-565-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BROWN RD",
"address_2": "SUITE #204",
"city": "FREMONT",
"state": "CA",
"postal_code": "945397955",
"telephone_number": "510-565-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKKANNA",
"first_name": "SUDHAMANI",
"middle_name": "HOSAHALLI",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 1622",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 8678",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.