Active NPI
Kareesha De Visser, M.A., CF-SLP
- Speech-Language Pathologist
- Baldwin Park, CA
National Provider Identifier
1013827179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 260168345
- Practice address
- 14600 Cavette PL
Baldwin Park, CA 91706-2708 - Phone
- (626) 968-1142
- NPI assigned
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 260168345 | CA | Primary |
Addresses
Primary practice location
14600 Cavette PL
Baldwin Park, CA 91706-2708
Mailing address
14600 Cavette PL
Baldwin Park, CA 91706-2708
Phone (626) 968-1142
Other practice location 1
13400 Foster Ave
Baldwin Park, CA 91706-4838
Phone (626) 962-1300 ext. 87786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1013827179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14600 CAVETTE PL",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917062708",
"telephone_number": "626-968-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14600 CAVETTE PL",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917062708",
"telephone_number": "626-968-1142"
}
],
"practiceLocations": [
{
"address_1": "13400 Foster Ave",
"address_purpose": "LOCATION",
"city": "Baldwin Park",
"state": "CA",
"postal_code": "917064838",
"country_code": "US",
"telephone_number": "626-962-1300 x87786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE VISSER",
"first_name": "KAREESHA",
"credential": "M.A., CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "260168345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.