Dinesh Gnanavel

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP19436 Issued in CA

Practice address

3025 High St
Oakland, CA 94619-1807

Phone

(510) 261-5200

NPI assigned

Jun 26, 2019

Last updated

Jun 26, 2019By the provider in NPPES

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 NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Patient Care Specialty Group Nevada LLC

  • Physical Therapist
  • Edison, NJ
  • NPI 1770361313

  NV, Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1881255180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22154 CENTER ST APT 8",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HIGH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191807",
            "telephone_number": "510-261-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNANAVEL",
        "first_name": "DINESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP19436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GLJ Medical Services, Inc
• Amy B Glodde, RD
• Jake Glodowski
• Jolan W Glover
• Katherine Glusac
• Go Red Corp (North Oakland Pharmacy)
• Go Red Corporation (North Oakland Pharmacy)
• Alan S. Go, MD
• Lauren Go
• Emily Goble

• Speech-Language Pathologist in Oakland, CA
• Providers in Oakland, 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 26, 2019; 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.