Individual provider Active NPI

Edinbergh Arzadon

  • Occupational Therapist
  • Fullerton, CA
National Provider Identifier
1174911267
Registry record updated Feb 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2526 Issued in CA
Practice address
201 E Bastanchury Rd
Fullerton, CA 92835-2604
Phone
(714) 870-0060
NPI assigned
Dec 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2526 CA Primary

Addresses

Primary practice location

201 E Bastanchury Rd
Fullerton, CA 92835-2604

Mailing address

245 E Wilshire Ave
Fullerton, CA 92832-1935
Phone (714) 871-6020

Other names 1

  • Edinbergh Arzadon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456617600000",
    "number": "1174911267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E WILSHIRE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321935",
            "telephone_number": "714-871-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E BASTANCHURY RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352604",
            "telephone_number": "714-870-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARZADON",
        "first_name": "EDINBERGH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-26",
        "last_updated": "2016-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDINBERGH",
            "last_name": "ARZADON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2016; 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.