Individual provider Active NPI

Ivonne Sofia Chichil

  • Speech-Language Pathologist
  • Encino, CA
National Provider Identifier
1659177442
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9385 Issued in CA
Practice address
17337 Ventura Blvd Ste 220
Encino, CA 91316-4039
Phone
(714) 363-8150
NPI assigned
Feb 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9385 CA Primary

Addresses

Primary practice location

17337 Ventura Blvd Ste 220
Encino, CA 91316-4039

Mailing address

9832 Beachy Ave
Arleta, CA 91331-5205
Phone (818) 264-9670

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

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1659177442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 BEACHY AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913315205",
            "telephone_number": "818-264-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD STE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164039",
            "telephone_number": "714-363-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICHIL",
        "first_name": "IVONNE",
        "middle_name": "SOFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "9385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.