Carla Mae Elisse Caraos Gianzon, ADN, RN, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3803 Issued in CA

Practice address

614 Robin Glen Dr
Glendale, CA 91202-1140

Phone

(818) 450-9724

NPI assigned

Sep 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K & N Rehab Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1154090546

  Registered Nurse

  NPD

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1154092617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 ROBIN GLEN DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021140",
            "telephone_number": "818-450-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 ROBIN GLEN DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021140",
            "telephone_number": "818-450-9724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4096 Easy St",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917311054",
            "country_code": "US",
            "telephone_number": "818-450-9724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANZON",
        "first_name": "CARLA MAE ELISSE",
        "middle_name": "CARAOS",
        "credential": "ADN, RN, COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3803",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95039356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Glendale",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "614 Robin Glen Dr",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912021140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edgar Ghukasyan
• Karina Ghukasyan
• Margarita Ghukasyan
• Marianna Ghularyan, D.D.S.
• Angelo Carlo Gianzon
• Harlan Gibbs, M.D.
• Gift of Comfort Hospice, Inc.
• Gilbert Garcia
• Gary Guy Gilbert, M.D.
• Steven H Gimian, LSW

• Occupational Therapy Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.