Individual provider Active NPI

Andrew P Nalbandian, COTA/L

  • Occupational Therapy Assistant
  • National City, CA
National Provider Identifier
1194077545
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA2076 Issued in CA
Practice address
1426 E 7TH St
National City, CA 91950-2623
Phone
(207) 756-5858
Fax
(866) 789-8027
NPI assigned
Oct 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA2076 CA Primary

Addresses

Primary practice location

1426 E 7TH St
National City, CA 91950-2623

Mailing address

1426 E 7TH St
National City, CA 91950-2623
Phone (207) 756-5858

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

State licenses

LicenseStateTypeSpecialty
OTA2076CAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1194077545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 E 7TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502623",
            "telephone_number": "207-756-5858",
            "fax_number": "866-789-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 E 7TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502623",
            "telephone_number": "207-756-5858",
            "fax_number": "866-789-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALBANDIAN",
        "first_name": "ANDREW",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.