Padma Sampath Kidambi

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

21214 Issued in CA

Practice address

200 E del Mar Blvd Ste 112
Pasadena, CA 91105

Phone

(626) 564-2700

NPI assigned

Feb 26, 2018

Last updated

Mar 14, 2019By the provider in NPPES

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)

Not enrolled

Practice roles

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.

• Justine Sherman & Assoc Inc

  • Speech-Language Pathologist
  • Monrovia, CA
  • NPI 1083809651
  NPD (past)
• Speech, Inc.

  • Speech-Language Pathologist
  • San Francisco, CA
  • NPI 1457680852
  NPD (past)

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1881195766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD STE 112",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD STE 112",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-564-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Van Ness Ave Ste 702",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941093015",
            "country_code": "US",
            "telephone_number": "415-563-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDAMBI",
        "first_name": "PADMA",
        "middle_name": "SAMPATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arpine Khudanyan, MD
• Nhan-Esteban Villarreal Khuong, L.AC.
• Rosalin Khuu, PHARM D.
• Ki Won Hoh DDS (Smile Now Dental Dr.Hoh office)
• Kia's HH Inc.
• Mark T Kidon, DPM
• Melinda James Kiely, RN, IBCLC
• Robin Marie Kietzman, PHD
• Taline Ardaches Kilaghbian, M.D.
• Adina Kim, MSW

• Speech-Language Pathologist in Pasadena, CA
• Providers in Pasadena, 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 Mar 14, 2019; 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.