Active NPI
Jesse Marie Di Carlo-Wagner
- Speech-Language Pathologist
- El Cajon, CA
National Provider Identifier
1093610354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 39356
- Practice address
- 1100 Murray Dr
El Cajon, CA 92020-5664 - Phone
- (619) 668-6141
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Sex
- Unspecified or another gender identity
- 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 | 39356 | CA | Primary |
Addresses
Primary practice location
1100 Murray Dr
El Cajon, CA 92020-5664
Mailing address
2337 Commonwealth Ave
San Diego, CA 92104-5322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1093610354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 COMMONWEALTH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921045322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MURRAY DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920205664",
"telephone_number": "619-668-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI CARLO-WAGNER",
"first_name": "JESSE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "39356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.