Gabriela Omidsalar, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

27465 Issued in CA

Practice address

466 Flagship Rd
Newport Beach, CA 92663-3635

Phone

(949) 642-8044

NPI assigned

May 6, 2019

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

Credentials

Master of Arts

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1538724463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S GOLDEN WEST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076211",
            "telephone_number": "626-807-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 FLAGSHIP RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633635",
            "telephone_number": "949-642-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIDSALAR",
        "first_name": "GABRIELA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Francis Olson, D.D.S.
• Natalya A Olson, FNP
• Robert George Olson, M.D.
• Rosemary Omeeghan, MBCHB
• Omid Haroonian DDS Inc
• One Brain and Spine Physicians
• One Health Telemedicine, Inc
• Onemind Wellness
• Hung V Ong, M.D.
• Oscar Oo, PSY.D.

• Speech-Language Pathologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.