Active NPI
Caroline Boag
- Speech-Language Pathologist
- El Cajon, CA
National Provider Identifier
1194668103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 23045
- Practice address
- 1145 Redwood Ave
El Cajon, CA 92019-2158 - Phone
- (619) 588-3075
- NPI assigned
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 23045 | CA | Primary |
Addresses
Primary practice location
1145 Redwood Ave
El Cajon, CA 92019-2158
Mailing address
12256 Lomica Dr
San Diego, CA 92128-2717
Phone (619) 588-3075
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 |
|---|---|---|---|
| 23045 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1194668103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12256 LOMICA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282717",
"telephone_number": "619-588-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 REDWOOD AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920192158",
"telephone_number": "619-588-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAG",
"first_name": "CAROLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "23045",
"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 Apr 13, 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.