Carlo Riel De Leon Alcala, OTR
Individual provider Active NPI Occupational Therapist · Visalia, CA
NPI 1144918210 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1144918210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT16000 (CA)
- Practice address
- 2230 W Sunnyside Ave Ste 1
Visalia, CA 93277-7269 - Phone
- (559) 799-7209
- NPI assigned
- Apr 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16000 | CA | MD | Chiropractor |
| OT16000 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT16000 | CA | Yes |
Addresses
Primary practice location
2230 W Sunnyside Ave Ste 1
Visalia, CA 93277-7269
Mailing address
1040 W Grand Ave Apt 212
Porterville, CA 93257-1978
Phone (559) 339-5776
Other providers in Visalia, CA
- Vincent John Cotaco Alarcon
- Sonia Adriana Alas
- Abdullah Hamad Majeed Alazzawi
- Jose Williams Alba-Jarero
- Hazem Albashash
- Maria Alicia Alcantar Vega
- Azucena Alcantar
- Maria Christina Alcantar
- Alondra Zaret Alcaraz Vallejo
- Nancy Alcazar
All providers in Visalia, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.