Nicholas A Chiara

Individual provider Active NPI Occupational Therapist · Dinuba, CA

NPI 1043984602 · NPPES record last updated Aug 5, 2021

Key facts

NPI
1043984602
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
22484 (CA)
Practice address
1730 S College Ave
Dinuba, CA 93618-2812
Phone
(559) 591-3300
NPI assigned
Aug 5, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
22484CAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X 22484 CA Yes

Addresses

Primary practice location

1730 S College Ave
Dinuba, CA 93618-2812

Mailing address

25 Walnut Ave
Floral Park, NY 11001-2403
Phone (516) 492-6015

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2021.

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1043984602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WALNUT AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012403",
            "telephone_number": "516-492-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S COLLEGE AVE",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936182812",
            "telephone_number": "559-591-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARA",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dinuba, CA

All providers in Dinuba, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.