Mabel L Koscuiszka

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

40368 Issued in CA

Practice address

555 Claire Ave
Chula Vista, CA 91910-6105

Phone

(619) 476-4200

NPI assigned

Jul 29, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1265354203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 L ST STE G",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CLAIRE AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106105",
            "telephone_number": "619-476-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1267 Thermal Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921542802",
            "country_code": "US",
            "telephone_number": "619-628-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSCUISZKA",
        "first_name": "MABEL",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "40368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlen Elizabeth Kolodge, MS, PA-C
• Errol Richard Korn, M.D.
• Kelcey Kornek
• Leonard M Kornreich, MD
• Camryn Korsmo
• Julia Koshechkina
• Hanna Kostenko
• Koura MD Inc
• Shawn Singh Koura, M.D.
• Kousay a. Al-Kourainy, M.D.

• Speech-Language Pathologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.