Individual provider Active NPI

Padideh Anvari, M.S.

  • Speech-Language Pathologist
  • Granada Hills, CA
National Provider Identifier
1821141946
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14293 Issued in CA
Practice address
10801 Lindley Ave
Granada Hills, CA 91344-4441
Phone
(747) 239-4047
NPI assigned
Jan 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 14293 CA Primary

Addresses

Primary practice location

10801 Lindley Ave
Granada Hills, CA 91344-4441

Mailing address

5210 Lewis Rd Ste 7
Agoura Hills, CA 91301-2662
Phone (818) 213-1079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111000535 CA Practitioner - Qualified Speech Language Pathologist 6901273598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5210 Lewis Rd
Suite 7
Agoura Hills, CA 91301-2662
Phone (818) 312-1596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy and Beyond Inc CurrentSince May 27, 2022 Accepting new patients
Embrace Progressive Therapy Inc Speech-Language Pathologist CurrentSince Apr 15, 2025 Accepting new patients

Locations

5210 Lewis Rd
Ste 7
Agoura Hills, CA 91301
Phone (818) 312-1596

29219 Canwood St
Unit 107
Agoura Hills, CA 91301
Phone (818) 914-7555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1821141946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 LEWIS RD STE 7",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012662",
            "telephone_number": "818-213-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LINDLEY AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444441",
            "telephone_number": "747-239-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANVARI",
        "first_name": "PADIDEH",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.