Active NPI
Alyssa Mikae Ikeda
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1346130671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4282 Genesee Ave Ste 102
San Diego, CA 92117-4986 - Phone
- (619) 207-0984
- NPI assigned
- Jul 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CA | Primary |
Addresses
Primary practice location
4282 Genesee Ave Ste 102
San Diego, CA 92117-4986
Mailing address
1635 Chalcedony CT
Folsom, CA 95630-7321
Phone (916) 467-6798
Other practice location 1
1415 Ridgeback Rd Ste 21
Chula Vista, CA 91910-6984
Phone (619) 207-0984
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Works, Inc. | Past | Accepting new patients | |
| Pediatric Therapy Works Speech-Language and Development Co | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Chula Vista, CA
- NPI 1124592563
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Clearwater, FL
- NPI 1730389248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1346130671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 CHALCEDONY CT",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307321",
"telephone_number": "916-467-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4282 GENESEE AVE STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921174986",
"telephone_number": "619-207-0984"
}
],
"practiceLocations": [
{
"address_1": "1415 Ridgeback Rd Ste 21",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919106984",
"country_code": "US",
"telephone_number": "619-207-0984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IKEDA",
"first_name": "ALYSSA",
"middle_name": "MIKAE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"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 Jul 8, 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.