Vasudavan Govindasamy, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

25459 Issued in CA

Practice address

1490 North Claremont Blvd Suite 101
Claremont, CA 91711

Phone

(909) 626-0900

NPI assigned

Jul 25, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Justine Sherman & Assoc Inc

  • Speech-Language Pathologist
  • Monrovia, CA
  • NPI 1083809651
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750804464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 N CLAREMONT BLVD STE 101",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113519",
            "telephone_number": "909-626-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NORTH CLAREMONT BLVD SUITE 101",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "91711",
            "telephone_number": "909-626-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVINDASAMY",
        "first_name": "VASUDAVAN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel S. Gonick-Mefferd, L.AC
• Raquel Ariana Gonzales, MPH, RD
• Cindy Gonzalez
• Diana Esmeralda Gonzalez, OTR/L
• Nicole Lynn Goolsby, LMFT
• Ashley Ann Grammer
• Reighan Grandolfo
• Grandtag Madisonrealty LLC
• Steven Michael Graves, ATC
• Green Life Legacy, LLC

• Speech-Language Pathologist in Claremont, CA
• Providers in Claremont, CA by specialty
• Speech-Language Pathologist in California

• 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.

Verify at the official NPI Registry.