Active NPI
Andrea Jenine Abad
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1043883176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21994
- Practice address
- 1540 Alcazar St
Los Angeles, CA 90089-4122 - Phone
- (323) 442-2850
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21994 | CA | Primary |
Addresses
Primary practice location
1540 Alcazar St
Los Angeles, CA 90089-4122
Mailing address
11404 Laurel Canyon Blvd
San Fernando, CA 91340-4122
Phone (818) 522-8693
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 |
|---|---|---|---|
| 21994 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1043883176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11404 LAUREL CANYON BLVD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404122",
"telephone_number": "818-522-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 ALCAZAR ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900894122",
"telephone_number": "323-442-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABAD",
"first_name": "ANDREA JENINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.