Active NPI
Christina Margarita Villasenor, MS, OTR/L
- Occupational Therapist
- San Pedro, CA
National Provider Identifier
1063011104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21656
- Practice address
- 1300 W 7TH St
San Pedro, CA 90732-3505 - Phone
- (310) 514-5377
- NPI assigned
- Oct 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 443146 | CA | |
| Occupational Therapist | 225X00000X | 21656 | CA | Primary |
Addresses
Primary practice location
1300 W 7TH St
San Pedro, CA 90732-3505
Mailing address
2818 Olive LN
Santa Ana, CA 92706-1132
Phone (714) 866-9157
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 443146 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1063011104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 OLIVE LN",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927061132",
"telephone_number": "714-866-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W 7TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323505",
"telephone_number": "310-514-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASENOR",
"first_name": "CHRISTINA",
"middle_name": "MARGARITA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "443146",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.