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Active NPI 1255685590 Individual Practitioner Female Practitioner

Jane Oliver Wallis , MS-SLP

Speech-Language Pathologist • Antioch, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jane Wallis, MS-SLP is a certified Speech-Language Pathologist practicing in Antioch, CA. With approximately 15 years of clinical experience since completing medical education in 2011, Jane Wallis delivers high-quality medical care to the local community at 4501 SAND CREEK RD.

Jane Wallis is affiliated with Permanente Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4501 Sand Creek Rd

Antioch, CA 945318687

Telephone 9258136420
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Antioch, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +5.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Antioch, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallis (15 Years) 15 Yrs
Antioch Specialty Average (9.5 Years) 9.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-01-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 7414

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.

Hospital & Practice Group Affiliations

Permanente Medical Group Inc

4501 Sand Creek Rd, Antioch, CA 945318687

Phone: 9258136500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Ashley Chavez , DPT

Physical Therapist

NPI 1174008403

Doctor of Physical Therapy

NPI 1386356921

Physical Therapist, Doctor of Physical Therapy

NPI 1437666104

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 13, 2021

Registered at 4501 SAND CREEK RD, ANTIOCH, CA 945318687 (Tel: 9258136420)

📍
Updated Business Mailing Address July 13, 2021

Registered at 4501 SAND CREEK RD, ANTIOCH, CA 945318687 (Tel: 9258137706)

NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2018

Registered at 2208 CAMINO RAMON, SAN RAMON, CA 945831328 (Tel: 9253620683)

📍
Updated Business Mailing Address January 09, 2018

Registered at 213 VAGABOND CT, ALAMO, CA 945072804 (Tel: 3032507470)

👤
Provider Name / Credentials Updated January 09, 2018

Recorded as JANE WALLIS, M.S-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Speech-Language Pathologist (License #7414 in CA)

NPI Profile Active November 08, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2012

Registered at 2208 CAMINO RAMON, SAN RAMON, CA 945831328 (Tel: 9253620683)

📍
Updated Business Mailing Address November 08, 2012

Registered at 213 VAGABOND CT, ALAMO, CA 945072804 (Tel: 3032507470)

👤
Provider Name / Credentials Updated November 08, 2012

Recorded as JANE OLIVER, M.S-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2012

Speech-Language Pathologist (License #7414 in CA)

🟢
Initial NPI Registration & Enumeration November 08, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255685590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2012
Last Update: January 13, 2022
Sole Proprietor: Yes

Mailing Address

4501 Sand Creek Rd

Antioch, CA 945318687

Phone: 9258137706

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.