Active NPI
Rosemary Frausto, OTR/L
- Occupational Therapist
- El Segundo, CA
National Provider Identifier
1174270532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23203
- Practice address
- 615 N Nash St Ste 306
El Segundo, CA 90245-2850 - Phone
- (310) 535-0008
- NPI assigned
- Mar 6, 2022
- Last updated
- Mar 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 23203 | CA | Primary |
Addresses
Primary practice location
615 N Nash St Ste 306
El Segundo, CA 90245-2850
Mailing address
542 Simmons Ave
Los Angeles, CA 90022-2732
Phone (323) 485-4629
Other practice location 1
2542 W 3rd St Ste C
Los Angeles, CA 90057-1929
Phone (213) 277-1042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 N Nash St
Suite 306
El Segundo, CA 90245-2850
Phone (310) 920-3952
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23203 | CA | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- El Segundo, CA
- NPI 1811095318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646524800000",
"number": "1174270532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 SIMMONS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900222732",
"telephone_number": "323-485-4629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N NASH ST STE 306",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902452850",
"telephone_number": "310-535-0008"
}
],
"practiceLocations": [
{
"address_1": "2542 W 3rd St Ste C",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900571929",
"country_code": "US",
"telephone_number": "213-277-1042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAUSTO",
"first_name": "ROSEMARY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-06",
"last_updated": "2022-03-06",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.