Individual provider Active NPI

Katie Maulana Mardayat, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Calabasas, CA
National Provider Identifier
1134770316
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14045 Issued in CA
Practice address
4111 Las Virgenes Rd
Calabasas, CA 91302-1929
Phone
(818) 880-4000
NPI assigned
Sep 27, 2019
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14045 CA Primary

Addresses

Primary practice location

4111 Las Virgenes Rd
Calabasas, CA 91302-1929

Mailing address

4111 Las Virgenes Rd
Calabasas, CA 91302-1929
Phone (818) 880-4000

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14045CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Virgenes Unified School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1134770316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 LAS VIRGENES RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021929",
            "telephone_number": "818-880-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 LAS VIRGENES RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021929",
            "telephone_number": "818-880-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDAYAT",
        "first_name": "KATIE",
        "middle_name": "MAULANA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.