Eileena Gao, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP12026 Issued in AZ

Practice address

12995 N Marshall Ranch Dr
Glendale, AZ 85304-1966

Phone

(623) 486-6450

NPI assigned

Aug 14, 2019

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1376199364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 W BEHREND DR APT 2016",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086926",
            "telephone_number": "415-867-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 N MARSHALL RANCH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041966",
            "telephone_number": "623-486-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "EILEENA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP12026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Gandolfo, SLPA
• Krithiga Ganesh Babu, M.D.
• Liborio Leon Gangemi
• Christopher Ganir, M.D.
• Daniel R Gano, D.D.S
• Mark Anthony Gaona, D.D.S.
• Jenny Rebecca Gapinski, M.S., CCC-SLP
• Alicia Garcia, AGNP
• Amanda Garcia, LCSW
• Barbara L Garcia, M.D.

• Speech-Language Pathologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.