Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669915815 Individual Practitioner Female Practitioner

Carrie Wada , MA, CCC-SLP

Speech-Language Pathologist • Tustin, CA

Professional Overview & Biography Verified Profile Summary

Carrie Wada, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tustin, CA. Practice services are available at 17842 IRVINE BLVD STE 118 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17842 Irvine Blvd Ste 118

Tustin, CA 927803243

Telephone 9499038229
Associated Practice Facility / Clinic
🏢 Zenith Speech Therapy Inc Facility NPI 1568811800

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tustin, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
46 Specialists

Practicing in Tustin, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 25390

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 Slpab
25390 (CA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Elisa Jiang , REGISTERED OTR

Occupational Therapist

NPI 1376012625

REGISTEREDOTR

Krishnamala Thotapalli

Speech-Language Pathologist

NPI 1982963765

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2017

Registered at 17842 IRVINE BLVD STE 118, TUSTIN, CA 927803243 (Tel: 9499038229)

📍
Updated Business Mailing Address June 06, 2017

Registered at 540 S LEXINGTON PL, ANAHEIM, CA 928054935 (Tel: (714) 586-7475)

👤
Provider Name / Credentials Updated June 06, 2017

Recorded as CARRIE WADA, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Speech-Language Pathologist (License #25390 in CA)

NPI Profile Active November 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2016

Registered at 540 S LEXINGTON PL, ANAHEIM, CA 928054935 (Tel: 7145867475)

📍
Updated Business Mailing Address November 21, 2016

Registered at 540 S LEXINGTON PL, ANAHEIM, CA 928054935 (Tel: 7145867475)

👤
Provider Name / Credentials Updated November 21, 2016

Recorded as CARRIE WADA, SLP RPE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2016

Speech-Language Pathologist (License #10610 in CA)

🟢
Initial NPI Registration & Enumeration November 21, 2016

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: 1669915815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2016
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

540 S Lexington Pl

Anaheim, CA 928054935

Phone: 7145867475

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.