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KELSEY LAUREN PUNDAMIERA
NPI 1326513698
Speech-Language Pathologist in Ontario, CA

Active since October 12, 2018Accepts Medicare Assignment
2295 S VINEYARD AVE, ONTARIO, CA 91761(909) 724-5000 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelsey Lauren Pundamiera NPPES

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

KELSEY LAUREN PUNDAMIERA (NPI 1326513698) is an individual speech-language pathologist provider in Ontario, California and active in the NPI registry since October 2018. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1326513698
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELSEY LAUREN PUNDAMIERA
Location Address2295 S VINEYARD AVEOntario, CA 91761-7925
Mailing Address149 N Pintado DrDiamond Bar, CA 91765-1539
Phone(909) 724-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 12, 2018
✔ NPI 1326513698 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
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.
2295 S VINEYARD AVE, Ontario, CA 91761
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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 and accepts Medicare assignment

Kelsey Lauren Pundamiera is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305327107
PECOS Enrollment IDI20260219002856

Medicare Billing Reassignment

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

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
2,241 mi
Health Maintenance Organization
43480 YUKON DR, SUITE 100
Ashburn, VA 20147
  • Reassigned Medicare billing, Virginia enrollment
  • 995 clinicians in this Medicare group
NPI 1699893537 (571) 252-6000

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 20

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

DR. BENJAMIN MAURICE KERSHBERG M.D.
Pediatrics
2295 S VINEYARD AVE, MOB A
ONTARIO, CA 91761
San Bernardino County (909) 724-2554
MS. CHRISTINE RAMOS PHARM.D.
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-7640
DORIS WU
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-3120
LINA SALEHIAN
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-2126
JENNIFER RHEE
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-3500
MANUEL JOSE SALAS PHARM.D.
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-7640
THUONG VU FNP
Nurse Practitioner (Family)
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (833) 574-2273
LIAN LIU MPH, RD, CDE
Dietitian, Registered
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Pundamiera's NPI number?

The NPI number for Kelsey Pundamiera is 1326513698. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Where is Kelsey Pundamiera located?

Kelsey Pundamiera practices at 2295 S Vineyard Ave, Ontario, CA 91761. The listed phone number is (909) 724-5000.

What is Kelsey Pundamiera's specialty?

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

Is Kelsey Pundamiera enrolled in Medicare?

Yes. Kelsey Pundamiera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelsey Pundamiera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Pundamiera reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Ashburn, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Pundamiera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelsey Pundamiera was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.