Individual provider Active NPI

Kiani Flores-Lacangan, OTR/L

  • Pediatric Occupational Therapist
  • Torrance, CA
National Provider Identifier
1326670035
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT20777 Issued in CA
Practice address
3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812
Phone
(310) 371-8555
Fax
(310) 371-4488
NPI assigned
Feb 11, 2020
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT20777 CA Primary

Addresses

Primary practice location

3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812

Mailing address

PO Box 883
Lemon Grove, CA 91946-0883

Other practice location 1

2060 Otay Lakes Rd Ste 270
Chula Vista, CA 91913-1364
Phone (619) 546-0039

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

LicenseStateTypeSpecialty
OT20777CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Motion Physical Therapy, Inc Pediatrics CurrentSince Jul 3, 2022 Accepting new patients
Speech Tree Therapy Center CurrentSince Jul 23, 2023 Accepting new patients
Kids in Motion Pediatric Therapy Pediatrics CurrentSince Jul 3, 2022 Accepting new patients
Speech Tree Speech Therapy Center, Inc. PastSince Feb 1, 2020 Accepting new patients
Infinity Kids Corporation Past Accepting new patients

Locations

2060 Otay Lakes Rd
Ste 270
Chula Vista, CA 91913
Phone (619) 546-0039

3460 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 371-8555

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1326670035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919460883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 TORRANCE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035812",
            "telephone_number": "310-371-8555",
            "fax_number": "310-371-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 Otay Lakes Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919131364",
            "country_code": "US",
            "telephone_number": "619-546-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES-LACANGAN",
        "first_name": "KIANI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT20777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.