Individual provider Active NPI

Dara Mariama Caldwell, MS

  • Speech-Language Pathologist
  • Covina, CA
National Provider Identifier
1417262130
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 15108 Issued in CA
Practice address
414 E San Bernardino Rd
Covina, CA 91723-1704
Phone
(626) 367-3206
NPI assigned
Aug 18, 2010
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 SP 15108 CA Primary

Addresses

Primary practice location

414 E San Bernardino Rd
Covina, CA 91723-1704

Mailing address

414 E San Bernardino Rd
Covina, CA 91723-1704
Phone (626) 367-3206

Other practice location 1

317 E Foothill Blvd Ste 100
Arcadia, CA 91006-2600
Phone (626) 367-3206

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

LicenseStateTypeSpecialty
SP 15108CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1417262130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231704",
            "telephone_number": "626-367-3206"
        },
        {
            "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": "626-367-3206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 E Foothill Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910062600",
            "country_code": "US",
            "telephone_number": "626-367-3206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DARA",
        "middle_name": "MARIAMA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 15108",
            "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 Aug 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.

Verify at the official NPI Registry.