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Active NPI 1396372769 Individual Practitioner Female Practitioner

Kimberly Michelle Chagolla , SLPA, BA

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

Professional Overview & Biography Verified Profile Summary

Kimberly Chagolla, SLPA, BA is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Perris, CA. Practice services are available at 26623 PLACENTIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

26623 Placentia Ave

Perris, CA 925717302

Telephone 3238619824

Specialty Benchmarks & Practice Insights

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

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

Practicing in Perris, 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: 2020-03-25
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License CA 5179

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active March 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2020

Registered at 26623 PLACENTIA AVE, PERRIS, CA 925717302 (Tel: 3238619824)

📍
Updated Business Mailing Address March 25, 2020

Registered at 26623 PLACENTIA AVE, PERRIS, CA 925717302 (Tel: 3238619824)

👤
Provider Name / Credentials Updated March 25, 2020

Recorded as KIMBERLY CHAGOLLA, SLPA, B.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2020

Specialist/Technologist (License #5179 in CA)

🟢
Initial NPI Registration & Enumeration March 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1396372769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2020
Last Update: March 25, 2020
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

26623 Placentia Ave

Perris, CA 925717302

Phone: 3238619824

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.