Active NPI
Lea Cardenas, MOT
- Occupational Therapist
- Oakland, CA
National Provider Identifier
1073174702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17321
- Practice address
- 3025 High St
Oakland, CA 94619-1807 - Phone
- (510) 261-5200
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- 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 Therapist | 225X00000X | 17321 | CA | Primary |
Addresses
Primary practice location
3025 High St
Oakland, CA 94619-1807
Mailing address
19991 Santa Maria Ave Apt 11
Castro Valley, CA 94546-4244
Phone (559) 960-4719
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 |
|---|---|---|---|
| 17321 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1073174702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19991 SANTA MARIA AVE APT 11",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464244",
"telephone_number": "559-960-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 HIGH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946191807",
"telephone_number": "510-261-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "LEA",
"credential": "MOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.