Karen Raquel Landaverde

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1509 W Cameron Ave Ste 230
West Covina, CA 91790-2725

Phone

(626) 993-3000

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Foothill Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covina, CA
  • NPI 1669508974
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1013298355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 LAUREL CANYON BLVD STE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061576",
            "telephone_number": "818-755-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W CAMERON AVE STE 230",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902725",
            "telephone_number": "626-993-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAVERDE",
        "first_name": "KAREN",
        "middle_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Lam
• Pierre Lam
• Tsu Yao Lam, DC
• Concepcion Lamas
• Lois Lambert, C.N.M.
• Brittny Landeros
• Lanelle Health Pro Care, Inc.
• Loraine Lang
• Timothy Langeloh
• Peyton Langilotti

• Rehabilitation Practitioner in West Covina, CA
• Providers in West Covina, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.