Individual provider Active NPI

Adriana Laniza Montellano Natividad, CERTIFIED OPTICIAN

  • Contact Lens Technician/Technologist
  • Torrance, CA
National Provider Identifier
1033390943
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens Technician/TechnologistTaxonomy code 156FC0800X
License
162631 Issued in CA
Practice address
3565 Del Amo Blvd
Torrance, CA 90503-1637
Phone
(310) 214-0811
Fax
(310) 793-4658
NPI assigned
Nov 19, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/Technologist 156FC0800X 162631 CA Primary
Optician 156FX1800X 162631 CA

Addresses

Primary practice location

3565 Del Amo Blvd
Torrance, CA 90503-1637

Mailing address

PO Box 6900
Torrance, CA 90504-0100
Phone (310) 214-0811

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
162631CAMDContact Lens Technician/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1033390943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6900",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905040100",
            "telephone_number": "310-214-0811",
            "fax_number": "310-793-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031637",
            "telephone_number": "310-214-0811",
            "fax_number": "310-793-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIVIDAD",
        "first_name": "ADRIANA LANIZA",
        "middle_name": "MONTELLANO",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "CA",
            "license": "162631",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "162631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.