Active NPI
Nathaniel Nodalo, COTA/L
- Occupational Therapist
- Artesia, CA
National Provider Identifier
1225488935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2699
- Practice address
- 11900 Artesia Blvd
Artesia, CA 90701-4039 - Phone
- (562) 865-0271
- NPI assigned
- Jun 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 2699 | CA | Primary |
Addresses
Primary practice location
11900 Artesia Blvd
Artesia, CA 90701-4039
Mailing address
2727 E Monroe St
Long Beach, CA 90810-1326
Phone (310) 951-2697
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2699 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1225488935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 E MONROE ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101326",
"telephone_number": "310-951-2697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 ARTESIA BLVD",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907014039",
"telephone_number": "562-865-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NODALO",
"first_name": "NATHANIEL",
"name_prefix": "Mr.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "2699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Artesia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.