Active NPI
Jaimie Woodward, SLP-CCC
- Speech-Language Pathologist
- Covina, CA
National Provider Identifier
1063952539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 25048
- Practice address
- 414 E San Bernardino Rd
Covina, CA 91723-1704 - Phone
- (626) 536-4834
- NPI assigned
- Mar 3, 2017
- Last updated
- Sep 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 25048 | CA | Primary |
Addresses
Primary practice location
414 E San Bernardino Rd
Covina, CA 91723-1704
Mailing address
28985 Vacation Dr
Canyon Lake, CA 92587-7837
Phone (951) 377-6861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25048 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757808000000",
"number": "1063952539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28985 VACATION DR",
"city": "CANYON LAKE",
"state": "CA",
"postal_code": "925877837",
"telephone_number": "951-377-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 E SAN BERNARDINO RD",
"city": "COVINA",
"state": "CA",
"postal_code": "917231704",
"telephone_number": "626-536-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "JAIMIE",
"credential": "SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2025-09-14",
"certification_date": "2025-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "25048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.