Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568318202 Individual Practitioner Female Practitioner

Charisse Wan , SLP CA LICENSE

Speech-Language Pathologist • Vallejo, CA

Professional Overview & Biography Verified Profile Summary

Charisse Wan, SLP CA LICENSE is a registered healthcare professional specializing in Speech-Language Pathologist in Vallejo, CA. Practice services are available at 415 DANIELS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 Daniels Ave

Vallejo, CA 945903040

Telephone 7075568921
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Vallejo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Vallejo, 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: 2026-03-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 4032

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

19 Associated Practitioners
Lalaine Durand-Meijer , FNP-C

Nurse Practitioner - School

NPI 1053231605

Family Nurse Practitioner (Certified)

Tyler Wayne

Psychologist - School

NPI 1053299362
James Adams , RN

Registered Nurse - School

NPI 1063970218

Registered Nurse

Tina Cezar , OTR, L

Occupational Therapist

NPI 1083557417

Occupational Therapist Registered, L

Tamera Johnson Nichols

Counselor - Mental Health

NPI 1104798271
Joy Hei Matthew Lai

Psychologist - School

NPI 1215813340

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 05, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2026

Registered at 415 DANIELS AVE, VALLEJO, CA 945903040 (Tel: 7075568921)

📍
Updated Business Mailing Address March 05, 2026

Registered at 665 WALNUT AVE, VALLEJO, CA 945921177 (Tel: 7075568921)

👤
Provider Name / Credentials Updated March 05, 2026

Recorded as CHARISSE WAN, SLP CA LICENSE 4032

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2026

Speech-Language Pathologist (License #4032 in CA)

🟢
Initial NPI Registration & Enumeration March 05, 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: 1568318202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2026
Last Update: March 05, 2026
Sole Proprietor: No

Mailing Address

665 Walnut Ave

Vallejo, CA 945921177

Phone: 7075568921

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.