Individual provider Active NPI

Gisele Martin

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1679457337
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
39386 Issued in CA
Practice address
4100 Normal St
San Diego, CA 92103-2653
Phone
(619) 725-5501
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 39386 CA Primary

Addresses

Primary practice location

4100 Normal St
San Diego, CA 92103-2653

Mailing address

1026 Agate St
San Diego, CA 92109-1209
Phone (501) 231-2161

Other practice location 1

8996 Miramar Rd Ste 301
San Diego, CA 92126-4463
Phone (760) 688-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324001909 CA Practitioner - Qualified Speech Language Pathologist 3577047927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of South Carolina School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8996 Miramar Rd
Suite 301
San Diego, CA 92126-4451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39386CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Neurorehab Speech-Language Pathologist CurrentSince Aug 10, 2025 Accepting new patients

Locations

8996 Miramar Rd
Ste 301
San Diego, CA 92126
Phone (760) 688-0601

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1679457337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 AGATE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091209",
            "telephone_number": "501-231-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NORMAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032653",
            "telephone_number": "619-725-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8996 Miramar Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921264463",
            "country_code": "US",
            "telephone_number": "760-688-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GISELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "39386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.