Individual provider Active NPI

Leiah Ellen Cutkomp

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1396465647
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
35738 Issued in CA
Practice address
3020 Childrens Way # Mc5068
San Diego, CA 92123-4223
Phone
(858) 245-1700
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 35738 CA Primary

Addresses

Primary practice location

3020 Childrens Way # Mc5068
San Diego, CA 92123-4223

Mailing address

3020 Childrens Way # Mc5068
San Diego, CA 92123-4223
Phone (858) 245-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250905004484 CA Practitioner - Qualified Speech Language Pathologist 3779085923 Reassigns benefits to 1 organization
I20260209002918 NV Practitioner - Qualified Speech Language Pathologist 3779085923 Reassigns benefits to 1 organization
I20260413000678 MA Practitioner - Qualified Speech Language Pathologist 3779085923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

633 W 5TH St
Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35738CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jan 26, 2026 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Oct 20, 2025 Accepting new patients
Rady Children'S Hospital San Diego PastSince Sep 4, 2022 Accepting new patients
Rady Children'S Hospital San Diego PastSince Sep 4, 2022 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

5470 Kietzke Ln
Ste 300
Reno, NV 89511
Phone (775) 338-7099

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1396465647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-245-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-245-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTKOMP",
        "first_name": "LEIAH",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35738",
            "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 22, 2025; 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.