Jessica Cristina Magallan, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

36508 Issued in CA

Practice address

7373 University Ave
La Mesa, CA 91942-0500

Phone

(323) 482-4349

NPI assigned

Jan 19, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  CA

  Medicare reassignment

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1336900109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 39TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921054017",
            "telephone_number": "323-482-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420500",
            "telephone_number": "323-482-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALLAN",
        "first_name": "JESSICA",
        "middle_name": "CRISTINA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "36508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Macy, LCSW
• Jack Stuart Madowitz, M.D.
• Cathy Madrigal, RBT
• Muchaneta Maduke, OTR, CHT
• Cristal Magadan Ramirez
• Michael F. Magpile, M.D.
• Shawn Singh Mahal, PHARMD
• Thach D. Mai, D.O.
• Mary Maine, PT
• Sharon Mair, M.D.

• Speech-Language Pathologist in La Mesa, CA
• Providers in La Mesa, 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 Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.