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Active NPI 1114796018 Individual Practitioner Female Practitioner

Emily Elise Jackson , SLPA

Specialist/Technologist - Speech-Language Assistant • Gardena, CA

Professional Overview & Biography Verified Profile Summary

Emily Jackson, SLPA is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Gardena, CA. Practice services are available at 1149 W 190TH ST STE 2300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1149 W 190th St Ste 2300

Gardena, CA 902484350

Telephone 3108925812
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Gardena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Gardena, CA (2543 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

Medical Specialties & State Licenses

CMS Verified: 2024-02-16
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License CA 7495

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Abigail Hernandez , MS

Speech-Language Pathologist

NPI 1003708140

Master of Science

Julie Nguyen

Speech-Language Pathologist

NPI 1043890056
Katelyn Spohn , MS, CF-SLP

Speech-Language Pathologist

NPI 1083535645

Master of Science, Clinical Fellow in Speech-Language Pathology

Jhoenalyn Mendoza

Occupational Therapy Assistant

NPI 1093584971
Glenna Sunga

Occupational Therapy Assistant

NPI 1154190783
Carolyn Agbin

Specialist/Technologist - Speech-Language Assistant

NPI 1154190882

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address February 16, 2024

Registered at 1149 W 190TH ST STE 2300, GARDENA, CA 902484350 (Tel: 5628847640)

NPI Profile Active December 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2023

Registered at 1149 W 190TH ST STE 2300, GARDENA, CA 902484350 (Tel: 3108925812)

📍
Updated Business Mailing Address December 20, 2023

Registered at 652 NEWPORT AVE, LONG BEACH, CA 908141622 (Tel: 5628847640)

👤
Provider Name / Credentials Updated December 20, 2023

Recorded as EMILY JACKSON, SLPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2023

Specialist/Technologist (License #7495 in CA)

🟢
Initial NPI Registration & Enumeration December 20, 2023

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: 1114796018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2023
Last Update: February 16, 2024
Sole Proprietor: No

Mailing Address

1149 W 190th St Ste 2300

Gardena, CA 902484350

Phone: 5628847640

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.