Individual provider Active NPI

Kelly Danielle Gong

  • Speech-Language Pathologist
  • Redwood City, CA
National Provider Identifier
1023710324
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17312 Issued in CA
Practice address
3518 Jefferson Ave
Redwood City, CA 94062-3136
Phone
(650) 365-7500
Fax
(650) 365-7557
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17312 CA Primary

Addresses

Primary practice location

3518 Jefferson Ave
Redwood City, CA 94062-3136

Mailing address

3518 Jefferson Ave
Redwood City, CA 94062-3136
Phone (650) 365-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17312CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulips Speech Therapy Inc. Speech-Language Pathologist CurrentSince Mar 26, 2023 Accepting new patients

Locations

1640 Union St
San Francisco, CA 94123
Phone (415) 567-8133

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1023710324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 JEFFERSON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623136",
            "telephone_number": "650-365-7500",
            "fax_number": "650-365-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 JEFFERSON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623136",
            "telephone_number": "650-365-7500",
            "fax_number": "650-365-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "KELLY",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.