Taylor Ashley Gralak, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

34825 Issued in CA

Practice address

2708 Hawthorn PL
Brentwood, CA 94513-5498

Phone

(408) 772-4472

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Firebaugh-Las Deltas Unified School District

  • Local Education Agency (LEA)
  • Firebaugh, CA
  • NPI 1295958577
  NPD (past)

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1497535256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 HAWTHORN PL",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135498",
            "telephone_number": "408-772-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 HAWTHORN PL",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135498",
            "telephone_number": "408-772-4472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5756 N Marks Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112171",
            "country_code": "US",
            "telephone_number": "559-307-3828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1976 Morris Kyle Dr",
            "address_purpose": "LOCATION",
            "city": "Firebaugh",
            "state": "CA",
            "postal_code": "936229711",
            "country_code": "US",
            "telephone_number": "559-659-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRALAK",
        "first_name": "TAYLOR",
        "middle_name": "ASHLEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace and Glory Hospice, Inc.
• Grace Seniors Care
• Cynthia Louise Grace, PSYD
• Luis Gracia
• Robbin Michael Graham Jr.
• Katherine Granados Hernandez
• Elizabeth Ivonne Green, PHARM. D.
• Jayla L Green
• Jeremi Alexander Greene Sr.
• James M. Greer, DPM

• All providers in Brentwood, CA
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.