MS. MARIANNE ROSELLA SHAMLOU MA, CCC, SLP
NPI 1649801093
Speech-Language Pathologist in San Diego, CA

Active since February 03, 2020Accepts Medicare Assignment
15004 INNOVATION DR, SAN DIEGO, CA 92128(858) 605-7189 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 30, 2020, Feb 3, 2020 (2 updates tracked since 2020).

About Ms. Marianne Rosella Shamlou Ma, Ccc, Slp NPPES

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

MS. MARIANNE ROSELLA SHAMLOU MA, CCC, SLP (NPI 1649801093) is an individual speech-language pathologist provider in San Diego, California, licensed in California (11292) and active in the NPI registry since February 2020. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1649801093
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. MARIANNE ROSELLA SHAMLOUCredential: MA, CCC, SLP
Location Address15004 INNOVATION DRSan Diego, CA 92128-3491
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 605-9866 · Fax (858) 605-1109
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 3, 2020
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
NPI 1649801093 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 · 11292
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.
15004 INNOVATION DR, San Diego, CA 92128

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Marianne Rosella Shamlou Ma, Ccc, Slp 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 ID345651808
PECOS Enrollment IDI20201204001940

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of swallowing and feeding disorder 92526
Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.
88 services36 patients
Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
34 services13 patients
Evaluation of swallowing function 92610
Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.
27 services27 patients

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.

Occupational Therapist (Physical Rehabilitation)
15004 INNOVATION DR
SAN DIEGO, CA 92128
Physical Therapist (Sports)
15004 INNOVATION DR
SAN DIEGO, CA 92128
Nurse Practitioner (Women's Health)
15004 INNOVATION DR
SAN DIEGO, CA 92128
Pediatrics
15004 INNOVATION DR
SAN DIEGO, CA 92128
Emergency Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
Family Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
Occupational Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
Physical Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128

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 Marianne Shamlou's NPI number?

The NPI number for Marianne Shamlou is 1649801093. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Where is Marianne Shamlou located?

Marianne Shamlou practices at 15004 Innovation Dr, San Diego, CA 92128. The listed phone number is (858) 605-7189.

What is Marianne Shamlou's specialty?

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

Is Marianne Shamlou enrolled in Medicare?

Yes. Marianne Shamlou 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.

When was this NPI record last updated?

The NPPES record for Marianne Shamlou was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.