Kimberly Anasco
Individual provider Active NPI Speech-Language Pathologist · Redlands, CA
NPI 1033040001 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1033040001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 28193 (CA)
- Practice address
- 20 W Lugonia Ave
Redlands, CA 92374-2234 - Phone
- (909) 307-5300
- NPI assigned
- May 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28193 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redlands Unified School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 28193 | CA | Yes |
Addresses
Primary practice location
20 W Lugonia Ave
Redlands, CA 92374-2234
Mailing address
4137 Camero Ave
Los Angeles, CA 90027-4516
Phone (323) 574-2405
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All providers in Redlands, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.