Sean Victoria

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3427 Issued in CA

Practice address

3541 Puente Ave
Baldwin Park, CA 91706-5534

Phone

(626) 962-1043

NPI assigned

Dec 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1295190866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 CROOKED CREEK DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 PUENTE AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065534",
            "telephone_number": "626-962-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIA",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "260569",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Vargas, MD
• Alma Evelia Velasquez, RDA
• Juan Carlos Velosa, DDS
• Selvarani Venugopal, SPEECH THERAPIST
• Ron P. Verham, MD
• Rosalva Q. Vieyra, MD
• Victor Ray Villa
• Joel Pineda Villamater, PT
• Erenea Dar Juan Villanueva
• Heidee D. Villanueva, DO

• Occupational Therapy Assistant in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.