Individual provider Active NPI

Sharmila Quenimherr, M.S.

  • Speech-Language Pathologist
  • Hawthorne, CA
National Provider Identifier
1700107414
Registry record updated Aug 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19172 Issued in CA
Practice address
4455 W. 117TH St.
4TH FL.
Hawthorne, CA 90250
Phone
(310) 838-1552
Fax
(310) 838-1553
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2018

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 19172 CA Primary

Addresses

Primary practice location

4455 W. 117TH St.
4TH FL.
Hawthorne, CA 90250

Mailing address

4455 W. 117TH St.
4TH FL.
Hawthorne, CA 90250-2241
Phone (310) 838-1552

Other practice location 1

8885 Venice Blvd
Ste. 105
Los Angeles, CA 90034-3242
Phone (310) 838-1552

Other identifiers 1

IdentifierTypeStateIssuer
199811910063OtherCASTATE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19172CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Ryan LLC Speech-Language Pathologist Current Accepting new patients
Integrated Therapy Solutions Speech-Language Pathologist Current Accepting new patients

Locations

4455 W 117th St
Fl 4
Hawthorne, CA 90250
Phone (310) 838-1552

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533340800000",
    "number": "1700107414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 W. 117TH ST.",
            "address_2": "4TH FL.",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502241",
            "telephone_number": "310-838-1552",
            "fax_number": "310-838-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 W. 117TH ST.",
            "address_2": "4TH FL.",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-838-1552",
            "fax_number": "310-838-1553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8885 Venice Blvd",
            "address_2": "Ste. 105",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900343242",
            "country_code": "US",
            "telephone_number": "310-838-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUENIMHERR",
        "first_name": "SHARMILA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2018-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "199811910063",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2018; 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.