Individual provider Active NPI

Gabriella Alderete, MA, CCC-SLP

  • Speech-Language Pathologist
  • Temecula, CA
National Provider Identifier
1801279260
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24625 Issued in CA
Practice address
28991 Old Town Front St Ste 101
Temecula, CA 92590
Phone
(760) 207-7934
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 24625 CA Primary
Speech-Language Pathologist 235Z00000X RPE 9866 CA
Speech-Language Pathologist 235Z00000X 112151 TX

Addresses

Primary practice location

28991 Old Town Front St Ste 101
Temecula, CA 92590

Mailing address

7045 Charmant Dr
San Diego, CA 92122-4372
Phone (210) 362-0684

Other practice location 1

3355 Mission Ave
Suite 123
Oceanside, CA 92058-1326
Phone (760) 529-4975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
112151TXMDPediatric Occupational Therapist
RPE 9866CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
JJ Kemp Enterprises Past Accepting new patients

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1801279260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 CHARMANT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224372",
            "telephone_number": "210-362-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28991 OLD TOWN FRONT ST STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "760-207-7934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Mission Ave",
            "address_2": "Suite 123",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920581326",
            "country_code": "US",
            "telephone_number": "760-529-4975",
            "fax_number": "760-529-4761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDERETE",
        "first_name": "GABRIELLA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "24625",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE 9866",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.