Active NPI
Linda Irene Chollar
- Mechanotherapist
- Redondo Beach, CA
National Provider Identifier
1114383965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 1911
- Practice address
- 515 N Juanita Ave Apt 4
Redondo Beach, CA 90277-2929 - Phone
- (310) 318-3353
- NPI assigned
- Jan 10, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 1911 | AR | Primary |
| Reflexologist | 173C00000X | B01052 | CA | |
| Health Educator | 174H00000X | 1017 | CA |
Addresses
Primary practice location
515 N Juanita Ave Apt 4
Redondo Beach, CA 90277-2929
Mailing address
515 N Juanita Ave Apt 4
Redondo Beach, CA 90277-2929
Phone (310) 318-3353
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 |
|---|---|---|---|
| B01052 | CA | MD | Reflexologist |
| 1017 | CA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452384000000",
"number": "1114383965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 N JUANITA AVE APT 4",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772929",
"telephone_number": "310-318-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N JUANITA AVE APT 4",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772929",
"telephone_number": "310-318-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOLLAR",
"first_name": "LINDA",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-10",
"last_updated": "2016-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "AR",
"license": "1911",
"primary": true
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "CA",
"license": "B01052",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "1017",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.