Active NPI
Nicolas David Loera
- Mental Health Occupational Therapist
- West Covina, CA
National Provider Identifier
1053889485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- Practice address
- 1602 E Amar Rd Apt L
West Covina, CA 91792-1624 - Phone
- (626) 764-2384
- NPI assigned
- Nov 3, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | Primary |
Addresses
Primary practice location
1602 E Amar Rd Apt L
West Covina, CA 91792-1624
Mailing address
1602 E Amar Rd Apt L
West Covina, CA 91792-1624
Phone (626) 764-2384
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541203200000",
"number": "1053889485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 E AMAR RD APT L",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921624",
"telephone_number": "626-764-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 E AMAR RD APT L",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921624",
"telephone_number": "626-764-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOERA",
"first_name": "NICOLAS",
"middle_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-03",
"last_updated": "2018-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.