LEIAH ELLEN CUTKOMP
NPI 1396465647
Speech-Language Pathologist in San Diego, CA

Active since August 29, 2022
3020 CHILDRENS WAY # MC5068, SAN DIEGO, CA 92123(858) 245-1700 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leiah Ellen Cutkomp NPPES

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

LEIAH ELLEN CUTKOMP (NPI 1396465647) is an individual speech-language pathologist provider in San Diego, California, licensed in California (35738) and active in the NPI registry since August 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1396465647
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLEIAH ELLEN CUTKOMP
Location Address3020 CHILDRENS WAY # MC5068San Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5068San Diego, CA 92123-4223 · (858) 245-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2022
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
NPI 1396465647 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 · 35738
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.

3020 CHILDRENS WAY # MC5068, San Diego, CA 92123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leiah Ellen Cutkomp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779085923
PECOS Enrollment IDI20250905004484

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.

Physical Therapist
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123
Physical Therapist
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123
Physical Therapist
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123
Occupational Therapist
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123
Physical Therapist
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123
Occupational Therapist
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123
Physical Therapist
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123
Speech-Language Pathologist
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396465647, enumerated as an "individual" on August 29, 2022.

The provider is located at 3020 CHILDRENS WAY # MC5068 SAN DIEGO, CA 92123 and the phone number is (858) 245-1700.

Speech-Language Pathologist with taxonomy code 235Z00000X.