Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376497479 Individual Practitioner Female Practitioner

Kimberley Ivory

Speech-Language Pathologist • San Leandro, CA

Professional Overview & Biography Verified Profile Summary

Kimberley Ivory is a registered healthcare professional specializing in Speech-Language Pathologist in San Leandro, CA. Practice services are available at 368 JUANA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

368 Juana Ave

San Leandro, CA 945774811

Telephone 8773679772
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in San Leandro, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
32 Specialists

Practicing in San Leandro, 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: 2026-07-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 35993

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

9 Associated Practitioners
Dr. Wendy Rosario , OTD, OTR, L

Occupational Therapist

NPI 1164134888

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Amy Schutz

Physical Therapist

NPI 1235977372
Karissa Wong

Occupational Therapist

NPI 1275429235
Bailee Guymon , OTR, L

Occupational Therapist

NPI 1407581473

Occupational Therapist Registered, L

Kim Kerlee , OT

Occupational Therapist

NPI 1457083610

Occupational Therapist

Kathryn Bauman , MHS, CF-SLP

Speech-Language Pathologist

NPI 1518699560

MHS, Clinical Fellow in Speech-Language Pathology

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 16, 2026

Registered at 368 JUANA AVE, SAN LEANDRO, CA 945774811 (Tel: 8773679772)

👤
Provider Name / Credentials Updated July 16, 2026

Recorded as KIMBERLEY IVORY

NPI Profile Active February 25, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2026

Registered at 915 54TH ST, OAKLAND, CA 946083142 (Tel: 2818895927)

📍
Updated Business Mailing Address February 25, 2026

Registered at 150 4TH ST APT 640, OAKLAND, CA 946072161 (Tel: 2818895927)

👤
Provider Name / Credentials Updated February 25, 2026

Recorded as KIM IVORY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2026

Speech-Language Pathologist (License #35993 in CA)

🟢
Initial NPI Registration & Enumeration February 25, 2026

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: 1376497479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2026
Last Update: July 16, 2026
Sole Proprietor: Yes

Mailing Address

150 4th St Apt 640

Oakland, CA 946072161

Phone: 2818895927

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.