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LISA AHN CCC-SLP
NPI 1528608064
Speech-Language Pathologist in Rancho Cordova, CA

Active since January 13, 2020
11151 SUN CENTER DR STE C, RANCHO CORDOVA, CA 95670(916) 273-3389 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2021, Jan 13, 2020 (2 updates tracked since 2020).

About Lisa Ahn Ccc-slp NPPES

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

LISA AHN CCC-SLP (NPI 1528608064) is an individual speech-language pathologist provider in Rancho Cordova, California, licensed in California (21344) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1528608064
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA AHNCredential: CCC-SLP
Location Address11151 SUN CENTER DR STE CRancho Cordova, CA 95670-6194
Mailing Address4506 Bela WayCarmichael, CA 95608-1215 · (808) 779-8701
Phone(916) 273-3389
Sole ProprietorNo
Enumeration DateJanuary 13, 2020
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2020
✔ NPI 1528608064 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 · 21344
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.
11151 SUN CENTER DR STE C, Rancho Cordova, CA 95670
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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)

Lisa Ahn Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Permanente Medical Group Inc
40 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 5

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

REBEKAH BRANAMAN M.S. CCC-SLP
Speech-Language Pathologist
11151 SUN CENTER DR STE C
RANCHO CORDOVA, CA 95670
Sacramento County (916) 273-3389
MARCIA LEE DELLA SANTA
Speech-Language Pathologist
11151 SUN CENTER DR STE C
RANCHO CORDOVA, CA 95670
Sacramento County (916) 273-3389
MS. DIANE GOSS MHRS
Counselor
11151 SUN CENTER DR STE C
RANCHO CORDOVA, CA 95670
Sacramento County (916) 273-3389
CRYSTAL BILLINGS COTA/L
Occupational Therapy Assistant
11151 SUN CENTER DR STE C
RANCHO CORDOVA, CA 95670
Sacramento County (916) 273-3389
AMANDA LEE CARBONELL
Specialist/Technologist (Speech-Language Assistant)
11151 SUN CENTER DR STE C
RANCHO CORDOVA, CA 95670
Sacramento County (916) 273-3389

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 Lisa Ahn's NPI number?

The NPI number for Lisa Ahn is 1528608064. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Where is Lisa Ahn located?

Lisa Ahn practices at 11151 Sun Center Dr Ste C, Rancho Cordova, CA 95670. The listed phone number is (916) 273-3389.

What is Lisa Ahn's specialty?

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

Is Lisa Ahn enrolled in Medicare?

Yes. Lisa Ahn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Ahn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ahn reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Lisa Ahn'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 Lisa Ahn was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.