Active NPI
Medha Sataluri, SLP
- Speech-Language Pathologist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 34189
- Practice address
- 1301 20TH St Ste 300
Santa Monica, CA 90404-2087 - Phone
- (310) 829-7792
- Fax
- (310) 829-4136
- NPI assigned
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146015502 | IL | |
| Speech-Language Pathologist | 235Z00000X | 34189 | CA | Primary |
Addresses
Primary practice location
1301 20TH St Ste 300
Santa Monica, CA 90404-2087
Mailing address
1301 20TH St Ste 300
Santa Monica, CA 90404-2087
Phone (310) 829-7792
Other practice location 1
675 N Saint Clair St Ste 15-200
Chicago, IL 60611-5967
Phone (312) 695-8182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P101757 | Other | NY | LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 20TH St
Suite 300
Santa Monica, CA 90404-2087
Phone (310) 829-7792
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 96.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34189 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint Johns Medical Foundation | Current | Accepting new patients | |
| Saint John'S Health Clinic | Past | Accepting new patients |
Locations
2125 Arizona Ave
Santa Monica, CA 90404
Phone (310) 582-7450
1301 20th St
Ste 150
Santa Monica, CA 90404
Phone (310) 582-7641
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
1301 20th St
Ste 300
Santa Monica, CA 90404
Phone (310) 829-7792
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
5215 Torrance Blvd
Ste 300
Torrance, CA 90503
Phone (310) 303-6126
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
- Speech-Language Pathologist
- Los Angeles, CA
- NPI 1235164245
-
- Specialist
- Santa Monica, CA
- NPI 1336438902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1649818675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 20TH ST STE 300",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042087",
"telephone_number": "310-829-7792",
"fax_number": "310-829-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 20TH ST STE 300",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042087",
"telephone_number": "310-829-7792",
"fax_number": "310-829-4136"
}
],
"practiceLocations": [
{
"address_1": "675 N Saint Clair St Ste 15-200",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606115967",
"country_code": "US",
"telephone_number": "312-695-8182",
"fax_number": "312-695-4303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SATALURI",
"first_name": "MEDHA",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146015502",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "34189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "P101757",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.