Active NPI
Sandhya Padmanabhan, SPEECH LANGUAGE PATH
- Speech-Language Pathologist
- Pleasanton, CA
National Provider Identifier
1699844555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP13296
- Practice address
- 1811 Santa Rita Rd Ste 112
Pleasanton, CA 94566-4741 - Phone
- (925) 470-6948
- Fax
- (925) 470-6948
- NPI assigned
- Nov 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP13296 | CA | Primary |
Addresses
Primary practice location
1811 Santa Rita Rd Ste 112
Pleasanton, CA 94566-4741
Mailing address
632 W 11TH St Ste 119
Tracy, CA 95376-3860
Phone (925) 470-6948
Other practice location 1
4560 SE International Way
Consonus Rehab Services
MIlwaukie, OR 97222
Phone (971) 206-5140
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP13296 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caterpillar Playground Occupational and Physical Therapy | Current | Accepting new patients | |
| Teamwork Therapies | Speech-Language Pathologist | Current | Accepting new patients |
Locations
311 Ray St
Pleasanton, CA 94566
Phone (925) 399-5489
632 W 11th St
Ste 119
Tracy, CA 95376
Phone (209) 237-2484
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.
-
- Speech-Language Pathologist
- Pleasanton, CA
- NPI 1023984242
-
- Occupational Therapist
- Livermore, CA
- NPI 1033870498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699844555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 W 11TH ST STE 119",
"city": "TRACY",
"state": "CA",
"postal_code": "953763860",
"telephone_number": "925-470-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 SANTA RITA RD STE 112",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945664741",
"telephone_number": "925-470-6948",
"fax_number": "925-470-6948"
}
],
"practiceLocations": [
{
"address_1": "4560 SE International Way",
"address_2": "Consonus Rehab Services",
"address_purpose": "LOCATION",
"city": "MIlwaukie",
"state": "OR",
"postal_code": "97222",
"country_code": "US",
"telephone_number": "971-206-5140",
"fax_number": "971-206-5209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADMANABHAN",
"first_name": "SANDHYA",
"name_prefix": "Ms.",
"credential": "SPEECH LANGUAGE PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2022-07-21",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP13296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.