Tejal a Shah SLP LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TEJAL A SHAH SLP LLC

Practice address

17091 Pleasant Cir
Huntington Beach, CA 92649-4559

Phone

(510) 364-0412

NPI assigned

Oct 30, 2019

Organization subpart

No

Name

Tejal Shah, SLPNPI 1720434269

Title

Speech Language Pathologist

Phone

(301) 455-8882

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tejal Shah

  • Speech-Language Pathologist
  • Huntington Beach, CA
  • NPI 1720434269

  Single Specialty

  NPD Authorized official

• Tejal A. Shah SLP LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2019.

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1669016978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17091 PLEASANT CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494559",
            "telephone_number": "510-364-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17091 PLEASANT CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494559",
            "telephone_number": "510-364-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJAL A SHAH SLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TEJAL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "301-455-8882",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tejal A. Shah SLP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Huntington Beach, CA
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.