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CARLY GAMBLE MS CC-SLP
NPI 1760117899
Speech-Language Pathologist in Pleasanton, CA

Active since July 21, 2022
2900 STONERIDGE DR, PLEASANTON, CA 94588(925) 201-4050 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carly Gamble Ms Cc-slp NPPES

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

CARLY GAMBLE MS CC-SLP (NPI 1760117899) is an individual speech-language pathologist provider in Pleasanton, California, licensed in California (33567) and active in the NPI registry since July 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1760117899
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCARLY GAMBLECredential: MS CC-SLP
Location Address2900 STONERIDGE DRPleasanton, CA 94588-8310
Mailing Address4326 Valley Ave # 26bPleasanton, CA 94566-6179
Phone(925) 201-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1760117899 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 · 33567
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.
2900 STONERIDGE DR, Pleasanton, CA 94588
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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)

Carly Gamble Ms Cc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981191475
PECOS Enrollment IDI20251017000322

Medicare Billing Reassignment

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

Permanente Medical Group Inc
25 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

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 19

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

JANINE REBEKAH DONIDA VILLANUEVA OTR/L
Occupational Therapist
2900 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 201-4050
PATRICIA DENISE VAZQUEZ COTA
Occupational Therapy Assistant
2900 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 201-4050
MR. ALEX SCHWARGA OTR/L
Occupational Therapist
2900 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 201-4050
MRS. RIMPAL SHAH PT
Physical Medicine & Rehabilitation
2900 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 201-4050
ALEXIS ANNE GAHAGAN PTA
Physical Therapy Assistant
2900 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 801-4050
HILARY LABAT PTA
Physical Therapy Assistant
2900 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 201-4050
ANUPREET PRUTHI
Occupational Therapist
2900 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (877) 787-3430
SPANDANA NADIMPALI
Physical Therapist
2900 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 201-4050

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 Carly Gamble's NPI number?

The NPI number for Carly Gamble is 1760117899. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Carly Gamble located?

Carly Gamble practices at 2900 Stoneridge Dr, Pleasanton, CA 94588. The listed phone number is (925) 201-4050.

What is Carly Gamble's specialty?

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

Is Carly Gamble enrolled in Medicare?

Yes. Carly Gamble is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Gamble's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Gamble reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, 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 Carly Gamble'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 Carly Gamble was last updated on July 21, 2022. 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.