Active NPI
Neil Sutaria, MA CCC-SLP
- Speech-Language Pathologist
- Santa Clara, CA
National Provider Identifier
1871240507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24680
- Practice address
- 1400 Coleman Ave
Santa Clara, CA 95050-4309 - Phone
- (408) 244-1743
- NPI assigned
- Mar 2, 2022
- Last updated
- Mar 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24680 | CA | Primary |
Addresses
Primary practice location
1400 Coleman Ave
Santa Clara, CA 95050-4309
Mailing address
1400 Coleman Ave
Santa Clara, CA 95050-4309
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | neil@novatherapies.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24680 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Interoperability endpoints
- neil@novatherapies.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1871240507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 COLEMAN AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COLEMAN AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504309",
"telephone_number": "408-244-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTARIA",
"first_name": "NEIL",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "24680",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "neil@novatherapies.com",
"affiliation": "N",
"address_1": "1400 Coleman Ave",
"city": "Santa Clara",
"state": "CA",
"country_code": "US",
"postal_code": "950504309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Clara, CA
- Sunshine Holistic Wellness Center LLC
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- Jacqueline Daphnee Surpin
- Santa B. Suryaraman, MD
- Sutter Bay Medical Foundation (Sutter Santa Clara East Surgery Center)
- Sutter Bay Medical Foundation (Palo Alto Medical Foundation)
- Sutton Ledger Health LLC
- Suzanna Freerksen, MD, Inc. (Reclaim Joy Medical)
- Aravind Swaminathan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.