Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Chikkanayakanahalli Swamysridhara Siddhartha, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1861714867

Mr. Chikkanayakanahalli Swamysridhara Siddhartha, CCC-SLP is a Qualified Speech Language Pathologist in Corona, California. Qualified in 2002, 24 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2010
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3330 Rural Cir
Corona, CA 92882-8382
Phone: (626) 283-1490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 17429 (CA)

Record details

NPI number1861714867
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 18, 2010
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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