Jessica Nicole Pablo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

38885 Issued in CA

Practice address

295 Gesner Street
Suite 3C1
San Diego, CA 92117

Phone

(619) 343-2342

NPI assigned

Mar 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1972353415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 COLLWOOD WAY UNIT 72",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921152081",
            "telephone_number": "209-482-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 GESNER STREET",
            "address_2": "SUITE 3C1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92117",
            "telephone_number": "619-343-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5026 Collwood Way Unit 72",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921152081",
            "country_code": "US",
            "telephone_number": "209-482-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PABLO",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18831",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "38885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Paavola, LPCC, LMHC, ATR-BC
• Russell Pabalan
• Massooda Paband
• Chaitanya Pabbati, M.D.
• John Michael Pabers, M.D.
• Pac Neuro Inc
• Adam Rodger Pacal, M.D.
• Jasmine Joy Pacal
• Avonne Michelle Pace
• Denise Karin Pace, M.D.

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.