KENYA GOMEZ-TYDOR (NPI# 1861943482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861943482 |
| Entity Type | Individual |
| Full Name | KENYA GOMEZ-TYDOR |
| Credential | M.A. SLP |
| Practice Address |
680 Langsdorf Dr Suite 110 Fullerton CA 92831-3702 |
| Practice Telephone | 8559017742 |
| Mailing Telephone | 8559017742 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 11052 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
680 LANGSDORF DR SUITE 110 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225072143 | Ken Vanderlip | Psychologist | 680 Langsdorf Dr, Suite 202, Fullerton, CA 92831-3702 | 2006-06-15 |
| 1902463532 | Angelina Elizabeth Spinuzzi | Student in an Organized Health Care Education/Training Program | 680 Langsdorf Dr, Fullerton, CA 92831-3702 | 2019-05-20 |
| 1699255596 | Jannmarc Monserrat | Student in an Organized Health Care Education/Training Program | 680 Langsdorf Dr, Fullerton, CA 92831-3702 | 2018-08-20 |
| 1144764077 | Stephanie Bautista | Student in an Organized Health Care Education/Training Program | 680 Langsdorf Dr, Suite 200, Fullerton, CA 92831-3702 | 2016-12-12 |
| 1790152692 | Leticia Teresa Garcia | Social Worker | 680 Langsdorf Dr, Suite 200, Fullerton, CA 92831-3702 | 2015-08-26 |
| 1972853265 | Jennifer Williams | Social Worker | 680 Langsdorf Dr, Ste. 219, Fullerton, CA 92831-3702 | 2012-09-13 |
| 1932486461 | Catherine Nguyen Tang | Social Worker | 680 Langsdorf Dr, Suite 219, Fullerton, CA 92831-3702 | 2011-11-11 |
| 1952606022 | Anita Lee Yokota | Marriage & Family Therapist | 680 Langsdorf Dr, Ste 219, Fullerton, CA 92831-3702 | 2011-01-20 |
| 1013233790 | Alexander Richter | Orthopaedic Surgery | 680 Langsdorf Dr, Suite 103, Fullerton, CA 92831-3702 | 2010-04-20 |
| 1396972626 | Linda Liu Luong | Physician Assistant | 680 Langsdorf Dr, Fullerton, CA 92831-3702 | 2009-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
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| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857903 | Monica Lind | Speech-Language Pathologist | 1400 W Valencia Dr, Fullerton, CA 92833-3939 | 2020-06-29 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1891260196 | Ashley Choi | Speech-Language Pathologist | 1321 Groveside Way, Fullerton, CA 92833-4787 | 2018-10-12 |
| 1073901393 | Rajkumar Krishnan | Speech-Language Pathologist | 3200 E Palm Dr, Apt 322, Fullerton, CA 92831-1757 | 2015-01-08 |
| 1386032845 | Anuj Thapar | Speech-Language Pathologist | 2220 E Chapman Ave Unit 54, Fullerton, CA 92831-4200 | 2015-01-06 |
| 1487059051 | Nobue Miyao-baloy | Speech-Language Pathologist | 2512 E Santa Fe Ave, Fullerton, CA 92831-4422 | 2014-10-25 |
| 1790193167 | Caitlin Ielene Brennan | Speech-Language Pathologist | 1631 W West Ave, Fullerton, CA 92833-3806 | 2014-07-29 |
| 1821434903 | Amy Lauren Chapman | Speech-Language Pathologist | 1627 N Mountain View Pl, Fullerton, CA 92831-1225 | 2013-05-16 |
| 1063721470 | Melinda J Heise | Speech-Language Pathologist | 1038 E Bastanchury Rd # 144, Fullerton, CA 92835-2786 | 2010-10-02 |
| 1306043005 | Jiwon Choi | Speech-Language Pathologist | 2666 Associated Rd, Apt B49, Fullerton, CA 92835-3275 | 2007-06-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.