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Deactivated NPI 1497201412 Deactivated / Inactive NPI Female Practitioner

Lisa Kline

Speech-Language Pathologist • Lake Elsinore, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Kline has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2016
NPI Deactivation Date April 13, 2017
Total Practice Duration ~1 Years of Practice (2016 – 2017)

Professional Overview & Biography Verified Profile Summary

Lisa Kline was a registered Speech-Language Pathologist practicing in Lake Elsinore, CA. Throughout an active medical career spanning 1 years, Lisa Kline provided care at the practice location at 34257 KALANCHOE RD until profile deactivation on 2017-04-13.

Practice Location & Contact Primary Location

Practice Address

34257 Kalanchoe Rd

Lake Elsinore, CA 925322996

Telephone 9512447657

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lake Elsinore, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Lake Elsinore, 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

Medical Specialties & State Licenses

CMS Verified: 2026-05-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 12968

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1225969611

Master of Science, PPSSP, PPSSC

Alyssa Ohara

Speech-Language Pathologist

NPI 1225980865
Sully Nevarez

Licensed Vocational Nurse

NPI 1700710027

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location May 20, 2026

Registered at 34257 KALANCHOE RD, LAKE ELSINORE, CA 925322996 (Tel: 9512447657)

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Updated Business Mailing Address May 20, 2026

Registered at 40485 BIRCHFIELD DR, TEMECULA, CA 925916063 (Tel: 3108093184)

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Provider Name / Credentials Updated May 20, 2026

Recorded as LISA KLINE

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2026

Speech-Language Pathologist (License #12968 in CA)

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NPI Profile Deactivated April 13, 2017

Record deactivated on April 13, 2017

NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 30, 2016

Registered at 350 W 5TH ST STE 209, SAN PEDRO, CA 907312752 (Tel: 3105216386)

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Updated Business Mailing Address August 30, 2016

Registered at 10001 VENICE BLVD APT 304, LOS ANGELES, CA 900347438 (Tel: 3108093184)

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Provider Name / Credentials Updated August 30, 2016

Recorded as LISA KLINE

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Speech-Language Pathologist (License #12968 in CA)

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Initial NPI Registration & Enumeration August 30, 2016

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: 1497201412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2016
Last Update: May 20, 2026
Deactivation Date: April 13, 2017
Sole Proprietor: No

Mailing Address

40485 Birchfield Dr

Temecula, CA 925916063

Phone: 3108093184

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

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