Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447865308 Individual Practitioner Female Practitioner

Gertrude Carrillo

Speech-Language Pathologist • Lake Forest, CA

Professional Overview & Biography Verified Profile Summary

Gertrude Carrillo is a registered healthcare professional specializing in Speech-Language Pathologist in Lake Forest, CA. Practice services are available at 22722 LAMBERT ST STE 1711 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22722 Lambert St Ste 1711

Lake Forest, CA 926301618

Telephone 9493298161
Associated Practice Facility / Clinic
🏢 Grace Speech Therapy Corp Facility NPI 1942833660

Specialty Benchmarks & Practice Insights

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

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
34 Specialists

Practicing in Lake Forest, 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: 2020-09-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 4986

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

19 Associated Practitioners
Soleil Black , MS, CCC-SLP

Speech-Language Pathologist

NPI 1043824865

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Shelby Miller

Occupational Therapist

NPI 1144191362
Isabela Dator

Speech-Language Pathologist

NPI 1174253454
Jamie Hojnacki

Speech-Language Pathologist

NPI 1215794854
Jaclyn Van De Wetering

Occupational Therapy Assistant

NPI 1225661341
Monica Martinez

Speech-Language Pathologist

NPI 1356104699

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2020

Registered at 22722 LAMBERT ST STE 1711, LAKE FOREST, CA 926301618 (Tel: 9493298161)

📍
Updated Business Mailing Address September 08, 2020

Registered at 22722 LAMBERT ST STE 1711, LAKE FOREST, CA 926301618

👤
Provider Name / Credentials Updated September 08, 2020

Recorded as GERTRUDE CARRILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2020

Speech-Language Pathologist (License #4986 in CA)

🟢
Initial NPI Registration & Enumeration September 08, 2020

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: 1447865308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2020
Last Update: September 08, 2020
Sole Proprietor: No

Mailing Address

22722 Lambert St Ste 1711

Lake Forest, CA 926301618

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.