Individual provider Active NPI

Kali Dabbo, M.ED., CCC-SP23243

  • Speech-Language Pathologist
  • Temecula, CA
National Provider Identifier
1326595745
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP23243 Issued in CA
Practice address
28765 Single Oak Dr
Suite 125
Temecula, CA 92590-3661
Phone
(951) 552-1126
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 SP23243 CA Primary

Addresses

Primary practice location

28765 Single Oak Dr
Suite 125
Temecula, CA 92590-3661

Mailing address

28765 Single Oak Dr
Suite 125
Temecula, CA 92590-3661
Phone (951) 552-1126

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 Education

State licenses

LicenseStateTypeSpecialty
SP23243CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Sprouts Speech Therapy Center, Inc PastSince Dec 9, 2019 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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1326595745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28765 SINGLE OAK DR",
            "address_2": "SUITE 125",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903661",
            "telephone_number": "951-552-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28765 SINGLE OAK DR",
            "address_2": "SUITE 125",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903661",
            "telephone_number": "951-552-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBO",
        "first_name": "KALI",
        "credential": "M.ED., CCC-SP23243",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP23243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.