Active NPI
Gayle San Marco
- Occupational Therapist
- Santa Clarita, CA
National Provider Identifier
1306114491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4872
- Practice address
- 29040 Seco Cyn
Santa Clarita, CA 91390-4086 - Phone
- (661) 296-1529
- NPI assigned
- Dec 5, 2011
- 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 | 4872 | CA | Primary |
Addresses
Primary practice location
29040 Seco Cyn
Santa Clarita, CA 91390-4086
Mailing address
29040 Seco Cyn
Santa Clarita, CA 91390-4086
Phone (661) 296-1529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4872 | Medicaid | CA |
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": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1306114491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29040 SECO CYN",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913904086",
"telephone_number": "661-296-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29040 SECO CYN",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913904086",
"telephone_number": "661-296-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN MARCO",
"first_name": "GAYLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "4872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4872",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.