Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse James Massarella

Individual provider Speech-Language Pathologist · NPI 1104706498

Jesse James Massarella is a Speech-Language Pathologist in Winnetka, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

19837 Ingomar St
Winnetka, CA 91306-2617
Phone: (818) 294-9994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 33447 (CA)

Record details

NPI number1104706498
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 5, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address19837 Ingomar St, Winnetka, CA 91306-2617

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