Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104351964 Individual Practitioner Male Practitioner

Jonathan M Waller , MA CCC-SLP

Speech-Language Pathologist • Los Angeles, CA

Professional Overview & Biography Verified Profile Summary

Jonathan Waller, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Los Angeles, CA. Practice services are available at 1100 N STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 N State St
Ct A2e

Los Angeles, CA 900335000

Telephone 3234095082
Associated Practice Facility / Clinic
🏢 County Of Los Angeles Facility NPI 1417191198

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1026 Specialists

Practicing in Los Angeles, CA (13280 Statewide)

Telehealth Adoption Rate
1.6% 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: 2020-08-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP010930

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License CA 17522

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

4 Associated Practitioners
Valeria Johnson

Speech-Language Pathologist

NPI 1427945047
Rachel Ku-Yi

Speech-Language Pathologist

NPI 1487418166
Leighton Geivet

Speech-Language Pathologist

NPI 1487419198
Melea Balwan , MA

Speech-Language Pathologist

NPI 1699065870

Master of Arts

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2017

Registered at 1100 N STATE ST, CT A2E, LOS ANGELES, CA 900335000 (Tel: 3234095082)

📍
Updated Business Mailing Address April 28, 2017

Registered at 1100 N STATE ST, CT A2E, LOS ANGELES, CA 900335000 (Tel: 3234095082)

👤
Provider Name / Credentials Updated April 28, 2017

Recorded as JONATHAN WALLER, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2017

Speech-Language Pathologist (License #17522 in CA)

🟢
Initial NPI Registration & Enumeration April 28, 2017

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: 1104351964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2017
Last Update: August 03, 2020
Sole Proprietor: Yes

Mailing Address

1100 N State St, Ct A2e

Los Angeles, CA 900335000

Phone: 3234095082

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.