Active NPI
Mel Nodalo Jr., COTA
- Occupational Therapy Assistant
- Torrance, CA
National Provider Identifier
1053186197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5672
- Practice address
- 3750 Garnet St
Torrance, CA 90503-3305 - Phone
- (310) 371-2431
- NPI assigned
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 5672 | CA | Primary |
Addresses
Primary practice location
3750 Garnet St
Torrance, CA 90503-3305
Mailing address
3529 London St
Los Angeles, CA 90026-3516
Phone (323) 423-5626
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 |
|---|---|---|---|
| 5672 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1053186197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3529 LONDON ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900263516",
"telephone_number": "323-423-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 GARNET ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905033305",
"telephone_number": "310-371-2431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NODALO",
"first_name": "MEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "5672",
"primary": true
}
],
"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 20, 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.