MR. BIBIN CHACKO (NPI# 1932713104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932713104 |
| Entity Type | Individual |
| Full Name | MR. BIBIN CHACKO |
| Practice Address |
535 Peregrine Dr Patterson CA 95363-8703 |
| Mailing Address |
1548 Canal Farm Ln Apt 6c Los Banos CA 93635-4430 |
| Practice Telephone | 2098924710 |
| Mailing Telephone | 3108747766 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
535 PEREGRINE DR |
| City | PATTERSON |
| State | CA |
| Zip Code | 95363-8703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871090472 | Quadmed Medical Clinics of California, Inc. | Clinic/Center | 2065 Keystone Pacific Parkway, Patterson, CA 95363 | 2018-04-10 |
| 1295287613 | Chandni Mukesh Patel | Registered Nurse | 200 C Patterson, Patterson, CA 95363 | 2016-11-02 |
| 1700251279 | Carousel Onia | Registered Nurse | 1372 Samantha Creek Drive, Patterson, CA 95363 | 2015-12-09 |
| 1740534726 | Wal-mart Stores Inc | Technician/Technologist | 1030 Sperry Ave, Patterson, CA 95363 | 2012-10-30 |
| 1770725483 | Thomas Earl Klein | Dentist | 101 S El Circulo Ave, Patterson, CA 95363 | 2009-03-26 |
| 1740450808 | Gary Eric F Sanchez | Dentist | 1040 W. Las Palmas Ave., Suite C, Patterson, CA 95363 | 2008-03-05 |
| 1538381967 | Patterson Joint Unified Sd | Local Education Agency (LEA) | 510 Keystone Blvd, Patterson, CA 95363 | 2007-05-03 |
| 1538389234 | Modesto Advanced Diagnostic Imaging Medical Center | Radiology | 1108 Ward Avenue, Building A, Suite 1, Patterson, CA 95363 | 2007-04-26 |
| 1902849177 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 1080 Sperry Ave, Patterson, CA 95363 | 2006-06-14 |
| 1982126397 | Neha Garg | Internal Medicine | 200 C St, Patterson, CA 95363 | 2017-07-07 |
| Find all providers in zip 95363 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460017 | Sneha Kommu | Speech-Language Pathologist | 775 N Hartley St, Patterson, CA 95363-2477 | 2020-09-01 |
| 1609165216 | Andrea Campbell | Speech-Language Pathologist | 710 Route 311, Patterson, NY 12563-2657 | 2011-04-04 |
| 1588801971 | Jeanmarie Krebser | Speech-Language Pathologist | 325 Cornwall Meadows Ln, Patterson, NY 12563-2651 | 2009-01-07 |
| 1548414683 | Carolyn Joy Fischmann | Speech-Language Pathologist | 85 Mcmanus Road South, Patterson, NY 12563 | 2008-11-14 |
| 1841568011 | Melissa Danielle Zaug | Speech-Language Pathologist | 81 South St, Patterson, NY 12563-3111 | 2011-12-02 |
| 1548400377 | Amy Basso | Speech-Language Pathologist | 26 Salisbury Rd, Patterson, NY 12563-1207 | 2009-03-06 |
| 1487814497 | Dyane M Plunkett | Speech-Language Pathologist | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2008-06-12 |
| 1487791133 | Susan D. Lohmann | Speech-Language Pathologist | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427459 | Leigh Marian Pearce | Speech-Language Pathologist | 1208 Peninsula Dr, Chico, CA 95928-3827 | 2020-11-03 |
| 1225638844 | Nicci Michele Grayson | Speech-Language Pathologist | 2653 E Glenoaks Blvd, Glendale, CA 91206-3108 | 2020-11-01 |
| 1992305544 | Katrina Schickenberg | Speech-Language Pathologist | 715 Emeline Ave, Santa Cruz, CA 95060-1911 | 2020-10-31 |
| 1780284539 | Annalissa Ramos-garcia | Speech-Language Pathologist | 2575 33rd St Apt 4, Sacramento, CA 95817-1941 | 2020-10-30 |
| 1770183626 | Dina Kamionski | Speech-Language Pathologist | 10592 Wilkins Ave, Los Angeles, CA 90024-6033 | 2020-10-29 |
| 1932709953 | Lera A Chernov | Speech-Language Pathologist | 4243 Bonita Rd Apt 60, Bonita, CA 91902-1441 | 2020-10-28 |
| 1689274979 | Carolyn Lamar Maxwell | Speech-Language Pathologist | 2660 Oswell St Ste 121, Bakersfield, CA 93306-3154 | 2020-10-27 |
| 1407455330 | Tyonie Patterson | Speech-Language Pathologist | 7845 Stewart and Gray Rd Apt 12, Downey, CA 90241-4771 | 2020-10-21 |
| 1144829433 | Anne Mathew | Speech-Language Pathologist | 2262 N 1st St, San Jose, CA 95131-2022 | 2020-10-19 |
| 1972102259 | Cinthia Yong-joo Do | Speech-Language Pathologist | 6670 Alton Pkwy Bldg 1, Irvine, CA 92618-3734 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.