Subha Shunmugam, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP22304 Issued in CA

Practice address

740 S. Placentia Ave. Suite 100
Placentia, CA 92870

Phone

(714) 646-8318

Fax

(714) 646-8320

NPI assigned

Jan 22, 2015

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1821487299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S. PLACENTIA AVE. SUITE 100",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "92870",
            "telephone_number": "714-646-8318",
            "fax_number": "714-646-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S. PLACENTIA AVE. SUITE 100",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "92870",
            "telephone_number": "714-646-8318",
            "fax_number": "714-646-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUNMUGAM",
        "first_name": "SUBHA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP22304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Shin
• Tammy Chang Shinen, O. D.
• Melanie Shinno, DPT
• Meena Shneezai
• Bradley Scott Shumway, PT
• Sidus Medical Corporation
• Heather Elizabeth Silva, LMFT
• Deanne Zeno Simmons, SLPA
• Sital Mandalia DDS Inc
• Elle Alexandra Skender, M.S. CCC-SLP

• Speech-Language Pathologist in Placentia, CA
• Providers in Placentia, 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 22, 2015; 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.