Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619405214 Individual Practitioner Female Practitioner

Ellen Bustamante , MA, CCC-SLP

Speech-Language Pathologist • Pomona, CA

Professional Overview & Biography Verified Profile Summary

Ellen Bustamante, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Pomona, CA. Practice services are available at 255 E BONITA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 E Bonita Ave

Pomona, CA 917671923

Telephone 9095967733
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Pomona, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
23 Specialists

Practicing in Pomona, CA (13280 Statewide)

Telehealth Adoption Rate
4.3% 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 NV 2254

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 22155

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

Commercial Insurance / Payer ID Slp State License
22155 (CA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kerry Gott , MD

Internal Medicine - Infectious Disease

NPI 1013955186

Doctor of Medicine (M.D.)

Wendy Wang , OTR, L

Occupational Therapist - Physical Rehabilitation

NPI 1033602545

Occupational Therapist Registered, L

Michele Alaniz , OTR, L

Occupational Therapist

NPI 1063941243

Occupational Therapist Registered, L

Dr. Sarah Yaghoubi , PT, DPT

Physical Therapist - Neurology

NPI 1104650217

Physical Therapist, Doctor of Physical Therapy

NPI 1124803564

Physical Therapist, Doctor of Physical Therapy

Cindy Sendor , MA, CCC-SLP

Speech-Language Pathologist

NPI 1134657802

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

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address November 08, 2019

Registered at 6131 ANDOVER WOOD RD, LAS VEGAS, NV 891131882 (Tel: 7149284009)

NPI Profile Active May 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2017

Registered at 255 E BONITA AVE, POMONA, CA 917671923 (Tel: 9095967733)

📍
Updated Business Mailing Address May 25, 2017

Registered at 2629 SILVERADO CREEK PL, ONTARIO, CA 917610205 (Tel: 7149284009)

👤
Provider Name / Credentials Updated May 25, 2017

Recorded as ELLEN BUSTAMANTE, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2017

Speech-Language Pathologist (License #22155 in CA)

🟢
Initial NPI Registration & Enumeration May 25, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619405214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2017
Last Update: November 08, 2019
Sole Proprietor: No

Mailing Address

6131 Andover Wood Rd

Las Vegas, NV 891131882

Phone: 7149284009

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.