Individual provider Active NPI

Natalie Zhitnitsky, SLP

  • Speech-Language Pathologist
  • Woodland Hills, CA
National Provider Identifier
1699932004
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CCC9644 Issued in CA
Practice address
20720 Ventura Blvd Ste 260
Woodland Hills, CA 91364-6261
Phone
(818) 708-7704
Fax
(818) 708-7707
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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 CCC9644 CA Primary

Addresses

Primary practice location

20720 Ventura Blvd Ste 260
Woodland Hills, CA 91364-6261

Mailing address

20720 Ventura Blvd Ste 260
Woodland Hills, CA 91364-6261
Phone (818) 708-7704

Other identifiers 3

IdentifierTypeStateIssuer
704362OtherCAACN PROVIDER
CCC9644OtherCALICENSE
ZZZ67240ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000250 CA Practitioner - Qualified Speech Language Pathologist 7113070996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20720 Ventura Blvd
Suite 260
Woodland Hills, CA 91364-6261
Phone (818) 708-7704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CCC9644CAMDSpeech-Language Pathologist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Vital Speech and Swallow Speech Therapy, Inc Speech-Language Pathologist CurrentSince Feb 25, 2010 Accepting new patients
Vital Speech and Swallow Speech-Language Pathologist PastSince Nov 28, 2021 Accepting new patients

Locations

19100 Ventura Blvd
Ste Q
Tarzana, CA 91356
Phone (818) 344-2663

20720 Ventura Blvd
Ste 260
Woodland Hills, CA 91364
Phone (818) 708-7704

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1699932004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20720 VENTURA BLVD STE 260",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646261",
            "telephone_number": "818-708-7704",
            "fax_number": "818-708-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20720 VENTURA BLVD STE 260",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646261",
            "telephone_number": "818-708-7704",
            "fax_number": "818-708-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHITNITSKY",
        "first_name": "NATALIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2021-11-24",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "CCC9644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER",
            "identifier": "704362",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CCC9644",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ67240Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.

Verify at the official NPI Registry.