Prem Nath, M.SC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP13467 Issued in CA

Practice address

5601 W Olympic Blvd
101
Los Angeles, CA 90036-4855

Phone

(323) 379-7189

Fax

(323) 379-7189

NPI assigned

Oct 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1760679104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 W OLYMPIC BLVD",
            "address_2": "101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364855",
            "telephone_number": "323-379-7189",
            "fax_number": "323-379-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W OLYMPIC BLVD",
            "address_2": "101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364855",
            "telephone_number": "323-379-7189",
            "fax_number": "323-379-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATH",
        "first_name": "PREM",
        "name_prefix": "Mr.",
        "credential": "M.SC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP13467",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 3073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Shanti Natarajan, ACSW
• Sathyabama Natarajan, MD
• Uttara Natarajan
• Jaidev R Nath, MD
• Max Robert Nath
• Nathalie Vitality Acupuncture
• Nathan a Javari DPM
• Nathan D. Ford Medical Corporation
• Lauren Nathan, MD
• Patricia Nathan, MD

• Speech-Language Pathologist in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 19, 2016; 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.