Organization Active NPI

Bridge & Bloom Speech Therapy, PC

  • Speech-Language Pathologist
  • Eastvale, CA
National Provider Identifier
1487529616
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRIDGE & BLOOM SPEECH THERAPY, PC
Practice address
5933 Oatfield Ave
Eastvale, CA 92880-6407
Phone
(951) 733-1220
NPI assigned
Oct 7, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Karissa Kennedy-CastilloNPI 1609749878
Title
Speech-Language Pathologist
Phone
(951) 733-1220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

12495 Limonite Ave
Eastvale, CA 91752
Phone (626) 590-1820

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5933 Oatfield Ave
Eastvale, CA 92880-6407

Mailing address

12495 Limonite Ave # 1059
Eastvale, CA 91752-2457
Phone (951) 733-1220

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2025.

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1487529616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 LIMONITE AVE # 1059",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917522457",
            "telephone_number": "951-733-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 OATFIELD AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928806407",
            "telephone_number": "951-733-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE & BLOOM SPEECH THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "KENNEDY-CASTILLO",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "951-733-1220"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.