SAMANTHA KEIKO KOBARA M.S. CCC-SLP
NPI 1124547278
Speech-Language Pathologist in Redlands, CA

Q: What is Samantha Kobara's NPI number?

The NPI number for Samantha Kobara is 1124547278. It was assigned to this individual provider in the NPPES registry on September 10, 2017.

Q: What is Samantha Kobara's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Kobara was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 10, 2017

757 W REDLANDS BLVD, REDLANDS, CA 92373(909) 783-1111 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2026, Dec 8, 2021, Sep 3, 2020 and 1 more (4 updates tracked since 2020).

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About Samantha Keiko Kobara M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA KEIKO KOBARA M.S. CCC-SLP (NPI 1124547278) is an individual speech-language pathologist provider in Redlands, California, licensed in California (32884) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1124547278

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSAMANTHA KEIKO KOBARACredential: M.S. CCC-SLP

Location Address757 W REDLANDS BLVDRedlands, CA 92373-4641

Mailing Address11635 Cielo LnLoma Linda, CA 92354-3708

Phone(909) 783-1111

Sole ProprietorNo

Enumeration DateSeptember 10, 2017

Last NPPES UpdateAugust 27, 20264 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1124547278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 32884

Definition

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.

757 W REDLANDS BLVD, Redlands, CA 92373

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Keiko Kobara M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Samantha Kobara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

15 mi

Health Maintenance Organization

9961 SIERRA AVE
Fontana, CA 92335

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1689606196 (909) 427-3910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCINE ANNE DE LEON ALVAREZ

Speech-Language Pathologist