Individual provider Active NPI

Leslie Yung Hsin Su

  • Speech-Language Pathologist
  • San Gabriel, CA
National Provider Identifier
1821779430
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
35427 Issued in NY
Practice address
1327 S San Gabriel Blvd Apt B
San Gabriel, CA 91776-3601
Phone
(626) 573-2453
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 38573 CA
Speech-Language Pathologist 235Z00000X 35427 NY Primary

Addresses

Primary practice location

1327 S San Gabriel Blvd Apt B
San Gabriel, CA 91776-3601

Mailing address

212 W Fairview Ave Apt B
San Gabriel, CA 91776-2955
Phone (626) 320-0235

Other practice location 1

4075 E Live Oak Ave Ste B
Arcadia, CA 91006-5751
Phone (785) 979-1967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260112000541 NY Practitioner - Qualified Speech Language Pathologist 1456837293 Reassigns benefits to 1 organization
I20260114000286 CA Practitioner - Qualified Speech Language Pathologist 1456837293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

633 W 5TH St
Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38573CAMDGeneral Practice Dentistry
35427NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Feb 16, 2026 Accepting new patients
Maxtops Speech Therapy Corporation Speech-Language Pathologist CurrentSince Jul 1, 2023 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Feb 16, 2026 Accepting new patients

Locations

4075 E Live Oak Ave
Ste B
Arcadia, CA 91006
Phone (785) 226-5598

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

Organizations & group practices 3

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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1821779430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W FAIRVIEW AVE APT B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762955",
            "telephone_number": "626-320-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 S SAN GABRIEL BLVD APT B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763601",
            "telephone_number": "626-573-2453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4075 E Live Oak Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910065751",
            "country_code": "US",
            "telephone_number": "785-979-1967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "LESLIE",
        "middle_name": "YUNG HSIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "38573",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "35427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.