Elaine Kim
NPI 1881045995ActiveIndividual· Speech-Language Pathologist· Diamond Bar, CA
Speech-Language Pathologist with Southern California Permanente Medical Group, practicing in Diamond Bar, California. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1881045995 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 29, 2016 |
| Last updated in NPPES | Dec 3, 2021 |
| Certified by provider | Dec 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SP 24297 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (CA) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
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All 43 speech-language pathologists in Diamond Bar · All speech-language pathologists in California