Active NPI
Elizabeth Cano-Arredondo
- Rehabilitation Practitioner
- Pasadena, CA
National Provider Identifier
1275261372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 100 W Walnut St
Pasadena, CA 91124-4722 - Phone
- (626) 395-7100
- NPI assigned
- Aug 8, 2022
- Last updated
- Aug 12, 2022
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
100 W Walnut St
Pasadena, CA 91124-4722
Mailing address
9412 San Gabriel Ave
South Gate, CA 90280-4722
Phone (323) 670-3521
Other practice location 1
9412 San Gabriel Ave
South Gate, CA 90280-4722
Phone (323) 670-3521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3026032 | Other | CA | LA CARE COVERED |
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": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1275261372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9412 SAN GABRIEL AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902804722",
"telephone_number": "323-670-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W WALNUT ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911244722",
"telephone_number": "626-395-7100"
}
],
"practiceLocations": [
{
"address_1": "9412 San Gabriel Ave",
"address_purpose": "LOCATION",
"city": "South Gate",
"state": "CA",
"postal_code": "902804722",
"country_code": "US",
"telephone_number": "323-670-3521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANO-ARREDONDO",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CARE COVERED",
"identifier": "3026032",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.