Provider Demographics
NPI:1053040501
Name:PARTH WAYS SPEECH THERAPY PC
Entity type:Organization
Organization Name:PARTH WAYS SPEECH THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIKKANAYAKANAHALLI
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIDDHARTHA
Authorized Official - Suffix:
Authorized Official - Credentials:CCC - SLP
Authorized Official - Phone:626-283-1490
Mailing Address - Street 1:3330 RURAL CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-8382
Mailing Address - Country:US
Mailing Address - Phone:951-215-6042
Mailing Address - Fax:
Practice Address - Street 1:4160 TEMESCAL CANYON RD STE 401
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4626
Practice Address - Country:US
Practice Address - Phone:951-215-6042
Practice Address - Fax:951-215-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty