Active NPI
Chelsey Kwak
- Speech-Language Pathologist
- Bloomington, CA
National Provider Identifier
1861309403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 33281
- Practice address
- 18870 Jurupa Ave
Bloomington, CA 92316-3100 - Phone
- (909) 580-5010
- NPI assigned
- Aug 27, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 33281 | CA | Primary |
Addresses
Primary practice location
18870 Jurupa Ave
Bloomington, CA 92316-3100
Mailing address
850 E Washington St
Colton, CA 92324-8101
Phone (909) 580-5002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1861309403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 E WASHINGTON ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923248101",
"telephone_number": "909-580-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18870 JURUPA AVE",
"city": "BLOOMINGTON",
"state": "CA",
"postal_code": "923163100",
"telephone_number": "909-580-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAK",
"first_name": "CHELSEY",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "33281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.