Kayla Yeeles

Individual provider Active NPI Speech-Language Pathologist · El Granada, CA

NPI 1396653549 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1396653549
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
36062 (CA)
Practice address
516 Avenue Alhambra Ste 5
El Granada, CA 94018-8133
Phone
(650) 560-9470
NPI assigned
Aug 31, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 36062 CA Yes

Addresses

Primary practice location

516 Avenue Alhambra Ste 5
El Granada, CA 94018-8133

Mailing address

PO Box 917
Moss Beach, CA 94038-0917

Other names

  • Kayla Lim Former name

Other providers in El Granada, CA

All providers in El Granada, CA · Speech-Language Pathologist in California

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.