Individual provider Active NPI

Karissa Arnold

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1063081362
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4010 Morena Blvd Ste 103
San Diego, CA 92117
Phone
(619) 356-1315
Fax
(619) 860-1270
NPI assigned
Jun 21, 2021
Reactivated
Aug 1, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 NU Primary

Addresses

Primary practice location

4010 Morena Blvd Ste 103
San Diego, CA 92117

Mailing address

4010 Morena Blvd Ste 103
San Diego, CA 92117-4547

Other practice location 1

5333 Mission Center Rd Ste 110
San Diego, CA 92108-1347
Phone (855) 223-7123

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

Practice roles

OrganizationSpecialtyStatusNew patients
J & S Pediatric Therapy, P.C. Speech-Language Pathologist CurrentSince Aug 10, 2025 Accepting new patients

Locations

4010 Morena Blvd
Ste 103
San Diego, CA 92117
Phone (619) 356-1315

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1063081362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MORENA BLVD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MORENA BLVD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92117",
            "telephone_number": "619-356-1315",
            "fax_number": "619-860-1270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5333 Mission Center Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081347",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "KARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "deactivation_date": "2025-06-04",
        "reactivation_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.