Emiliano Chavez, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Imperial, CA
NPI 1619263449 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1619263449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 18736 (CA)
- Practice address
- 600 Tiger Lily LN
Imperial, CA 92251-8930 - Phone
- (619) 818-8609
- NPI assigned
- Jun 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Town Physical Therapy Co | Speech-Language Pathologist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18736 | CA | Yes |
Addresses
Primary practice location
600 Tiger Lily LN
Imperial, CA 92251-8930
Mailing address
600 Tiger Lily LN
Imperial, CA 92251-8930
Phone (619) 818-8609
Other providers in Imperial, CA
- Centerpoint Medical Inc
- Arturo Velazco Cervantes
- Richard Cervantes
- Vanessa Marie Cervantes
- Melissa Chairez
- Clinicas de Salud del Pueblo Inc
- Clinicas de Salud del Pueblo, Inc.
- Clinicas de Salud del Pueblo, Inc.
- Community Pharmacy
- Beneranda Vasquez Cooper
All providers in Imperial, 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 Jul 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.