Active NPI
Anne Grace Sotelo, CAMTC#27980
- Specialist
- Los Angeles, CA
National Provider Identifier
1255471397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 11936 Louise Ave
Los Angeles, CA 90066-5810 - Phone
- (310) 396-3566
- Fax
- (310) 230-5175
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
11936 Louise Ave
Los Angeles, CA 90066-5810
Mailing address
11936 Louise Ave
Los Angeles, CA 90066-5810
Phone (310) 396-3566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27980 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL |
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": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1255471397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11936 LOUISE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665810",
"telephone_number": "310-396-3566",
"fax_number": "310-230-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11936 LOUISE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665810",
"telephone_number": "310-396-3566",
"fax_number": "310-230-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTELO",
"first_name": "ANNE",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "CAMTC#27980",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
"identifier": "27980",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.