Cicera Lisboa de Melo

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2716 Issued in CA

Practice address

708 Marigold Ave
Corona del Mar, CA 92625-2411

Phone

(978) 401-8494

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1154163368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 MARIGOLD AVE",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252411",
            "telephone_number": "978-401-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MARIGOLD AVE",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252411",
            "telephone_number": "978-401-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISBOA DE MELO",
        "first_name": "CICERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "2716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalyn Maria Laudati, PHD
• Lee MD, Inc (Newport Dermatology Institute)
• Catherine Hee Yong Lee, M.D.
• Legacy DME Inc
• Joshua Leichtberg, M.D.
• Sarah Lockwood, AGACNP-BC
• Therese Marie Loutherback, M.ED.
• Dorothy Irene Lucchesi, PHYSICAL THERAPIST
• Katherine Macbarron
• Madeline L Miller MD a Medical Corporation

• Occupational Therapy Assistant in Corona del Mar, CA
• Providers in Corona del Mar, 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 Jun 10, 2024; 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.