Antonietta Louise Iannaccone

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

4007 Verdant St Ste B
Los Angeles, CA 90039-1318

Phone

(213) 866-3367

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1063931707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ALCAZAR ST # 133",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 VERDANT ST STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391318",
            "telephone_number": "213-866-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNACCONE",
        "first_name": "ANTONIETTA",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iam-Dr.Clinic
• Lisa Iamiceli
• Chalaiporn Iamsirithaworn
• Ian G Renner, M.D. Inc
• Luiza Iancu, MD
• Lynn Elizabeth Ianni, PH.D., MFT
• Heather Iannone
• Samantha Iannucci, DPT
• Mei Leng Iao, REGISTERED DIETITAN
• Sorin Iarovici

• Pediatric Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.