Active NPI
Krystal Lopez
- Occupational Therapist
- Whittier, CA
National Provider Identifier
1306317607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26696
- Practice address
- 12411 Slauson Ave Ste a
Whittier, CA 90606-2835 - Phone
- (562) 693-5449
- NPI assigned
- Dec 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Occupational Therapist | 225X00000X | 26696 | CA | Primary |
Addresses
Primary practice location
12411 Slauson Ave Ste a
Whittier, CA 90606-2835
Mailing address
1424 W Hall Ave
Santa Ana, CA 92704-5731
Phone (714) 856-6995
Other practice location 1
106 Discovery
Irvine, CA 92618-3131
Phone (949) 203-8872
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": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1306317607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 W HALL AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045731",
"telephone_number": "714-856-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12411 SLAUSON AVE STE A",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906062835",
"telephone_number": "562-693-5449"
}
],
"practiceLocations": [
{
"address_1": "106 Discovery",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926183131",
"country_code": "US",
"telephone_number": "949-203-8872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "KRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-11",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "26696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.