SURESHA BASAVANAYAK MS CCC-SLP
NPI 1114126414
Speech-Language Pathologist in Rancho Cucamonga, CA

Q: What is Suresha Basavanayak's NPI number?

The NPI number for Suresha Basavanayak is 1114126414. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Q: What is Suresha Basavanayak's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since July 16, 2007

7440 HYSSOP DR, RANCHO CUCAMONGA, CA 91739(909) 481-0277 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Suresha Basavanayak Ms Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURESHA BASAVANAYAK MS CCC-SLP (NPI 1114126414) is an individual speech-language pathologist provider in Rancho Cucamonga, California, licensed in California (13911) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1114126414

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameSURESHA BASAVANAYAKCredential: MS CCC-SLP

Location Address7440 HYSSOP DRRancho Cucamonga, CA 91739-9740

Mailing Address7440 Hyssop DrRancho Cucamonga, CA 91739-9740

Phone(909) 481-0277

Sole ProprietorYes

Enumeration DateJuly 16, 2007

✔ NPI 1114126414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 13911

Definition

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.

7440 HYSSOP DR, Rancho Cucamonga, CA 91739

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Other Identifiers 1

Other13911CA · Licencing Board

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suresha Basavanayak's NPI number?

The NPI number for Suresha Basavanayak is 1114126414. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Suresha Basavanayak located?

Suresha Basavanayak practices at 7440 Hyssop Dr, Rancho Cucamonga, CA 91739. The listed phone number is (909) 481-0277.

What is Suresha Basavanayak's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Suresha Basavanayak was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.