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Ivonne De Carlo Fuller , MS

Speech-Language Pathologist β€’ Baldwin Park, CA

Active NPI 1679859631 Individual Practitioner Female Practitioner
Practice location in NPPES

1011 Baldwin Park Blvd
Baldwin Park, CA 917065806

Call 6268516671 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1011 Baldwin Park Blvd

Baldwin Park, CA 917065806

Telephone 6268516671
Organization at the Same NPPES Address or Phone
Southern California Permanente Medical Group Facility NPI 1770515280

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ivonne Fuller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Baldwin Park and California

39 active clinicians are listed under Speech-Language Pathologist with a practice address in Baldwin Park, CA (14,094 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baldwin Park

0% of these 39 clinicians have the CMS telehealth indicator.

7.7% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CA 20326

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20120306000742

Enrollment State Jurisdiction

CA

PECOS Control ID

7810156130

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Julia Aburto-Erazo , NP

Nurse Practitioner

NPI 1922175777

Nurse Practitioner

Dr. Mauricio Acevedo , MD

Internal Medicine

NPI 1659442614

Doctor of Medicine (M.D.)

Dr. Olufemi Adenuga , MD, MPH

Internal Medicine - Pulmonary Disease

NPI 1134389125

Doctor of Medicine (M.D.), Master of Public Health

NPI 1437220316

Doctor of Medicine (M.D.)

Basheer Alas

Internal Medicine

NPI 1841949799
Dr. Baber Ali , MD

Ophthalmology

NPI 1528183035

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 29, 2020

Recorded as IVONNE FULLER, M.S

βœ…
NPI Profile Active September 18, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 18, 2013

Registered at 1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 917065806 (Tel: 6268516671)

πŸ“
Business Mailing Address (Initial Record) September 18, 2013

Registered at 14008 ROCKENBACH ST, BALDWIN PARK, CA 917062463 (Tel: 8186017644)

πŸ‘€
Provider Name / Credentials (Initial Record) September 18, 2013

Recorded as IVONNE MOLINA ALVANEZ, M.S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2013

Speech-Language Pathologist (license number reported to NPPES: CA 20326)

🟒
Initial NPI Registration & Enumeration October 21, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679859631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2011
Last Update: December 16, 2021
Sole Proprietor: No

Mailing Address

14008 Rockenbach St

Baldwin Park, CA 917062463

Phone: 8186017644

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.