Chikkanayakanahalli Swamysridhara Siddhartha, CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17429 Issued in CA

Practice address

3330 Rural Cir
Corona, CA 92882-8382

Phone

(626) 283-1490

NPI assigned

Feb 18, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Parth Ways Speech Therapy PC

  • Speech-Language Pathologist
  • Corona, CA
  • NPI 1053040501
  Medicare reassignment NPD

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1861714867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 RURAL CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828382",
            "telephone_number": "626-283-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 RURAL CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828382",
            "telephone_number": "626-283-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAMYSRIDHARA SIDDHARTHA",
        "first_name": "CHIKKANAYAKANAHALLI",
        "name_prefix": "Mr.",
        "credential": "CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira Suradi
• Susan M DO DDS PC
• Sushil Anand & Associates Medical Corp (American Pediatrics)
• Alexis Sutherland
• Tamera Scott Sutherland
• Andrea Swartz
• Raven Sweeney
• Olga Mariana Swenson, LCSW
• Sy FD LLC (Care-More Pharmacy)
• Julie Sy

• Speech-Language Pathologist in Corona, CA
• Providers in Corona, 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 Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.