Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174090567 Individual Practitioner Female Practitioner

Kelsey Koga

Speech-Language Pathologist • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Kelsey Koga is a registered healthcare professional specializing in Speech-Language Pathologist in Long Beach, CA. Practice services are available at 3620 LONG BEACH BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3620 Long Beach Blvd

Long Beach, CA 908074022

Telephone 5625950912
Associated Practice Facility / Clinic
🏢 Zak Dental Corp Facility NPI 1558791079

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
206 Specialists

Practicing in Long Beach, CA (13280 Statewide)

Telehealth Adoption Rate
10.2% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 22086

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
22086 (CA)

Practice Associates & Co-Workers

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

19 Associated Practitioners
Ayla Escalante

Specialist/Technologist - Speech-Language Assistant

NPI 1073080214
Jeraldine Gandara

Specialist/Technologist - Speech-Language Assistant

NPI 1164889101
Judy Pineda

Specialist/Technologist - Speech-Language Assistant

NPI 1255808168
Jenny Quintero

Speech-Language Pathologist

NPI 1295368389
Daisie Nguyen

Specialist/Technologist - Speech-Language Assistant

NPI 1356708382
Laura Carmona

Specialist/Technologist - Speech-Language Assistant

NPI 1437516978

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2018

Registered at 3620 LONG BEACH BLVD, LONG BEACH, CA 908074022 (Tel: 5625950912)

📍
Updated Business Mailing Address October 24, 2018

Registered at 1484 VIA LATINA DR, CAMARILLO, CA 930129288 (Tel: 8054024642)

👤
Provider Name / Credentials Updated October 24, 2018

Recorded as KELSEY KOGA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2018

Speech-Language Pathologist (License #22086 in CA)

🟢
Initial NPI Registration & Enumeration October 24, 2018

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: 1174090567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2018
Last Update: October 24, 2018
Sole Proprietor: No

Mailing Address

1484 Via Latina Dr

Camarillo, CA 930129288

Phone: 8054024642

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.