Erika Anna Blanco Pangan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9164 Issued in CA

Practice address

2911 W Stonybrook Dr
Anaheim, CA 92804-3931

Phone

(714) 761-0936

NPI assigned

Jul 12, 2007

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

Other names 1

• Erika Anna Bernardez Blanco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• County of Orange

  • Physical Therapy Clinic/Center
  • Anaheim, CA
  • NPI 1952448698
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1174722078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 W STONYBROOK DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 W STONYBROOK DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043931",
            "telephone_number": "714-761-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGAN",
        "first_name": "ERIKA ANNA",
        "middle_name": "BLANCO",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA ANNA",
            "last_name": "BLANCO",
            "middle_name": "BERNARDEZ",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mohammad Yasha Panahi-Pour
• Bella Panchal, AUD M.SC.CCC-A/SLP
• Bhumika Pandya, OD
• Mihali Pandya
• Janice Pang, DPT
• Daisy Panganiban
• Sabena Panhwar, MD
• Noah Paniagua
• Pankaj M. Khemka, M.D., Inc.
• George Andrew Serapio Pantaleon

• Occupational Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.