Active NPI
Chrysolite Gaddam
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1295443125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24194
- Practice address
- 7300 W Sunset Blvd
Los Angeles, CA 90046-3429 - Phone
- (323) 285-2283
- NPI assigned
- Nov 9, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 24194 | CA | Primary |
Addresses
Primary practice location
7300 W Sunset Blvd
Los Angeles, CA 90046-3429
Mailing address
1340 N Curson Ave Apt 108
Los Angeles, CA 90046-4086
Phone (708) 856-4381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24194 | Other | CA | CBOT |
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 |
|---|---|---|---|
| 24194 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1295443125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 N CURSON AVE APT 108",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900464086",
"telephone_number": "708-856-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900463429",
"telephone_number": "323-285-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADDAM",
"first_name": "CHRYSOLITE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "24194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBOT",
"identifier": "24194",
"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 Nov 9, 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.