Active NPI
Daisy Mae Fajardo Velarde
- Occupational Therapy Assistant
- Los Angeles, CA
National Provider Identifier
1336849199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6220
- Practice address
- 4618 York Blvd Apt 214
Los Angeles, CA 90041-3367 - Phone
- (323) 378-9368
- NPI assigned
- Mar 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 6220 | CA | Primary |
Addresses
Primary practice location
4618 York Blvd Apt 214
Los Angeles, CA 90041-3367
Mailing address
4618 York Blvd Apt 214
Los Angeles, CA 90041-3367
Phone (323) 378-9368
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 |
|---|---|---|---|
| 6220 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1336849199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4618 YORK BLVD APT 214",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413367",
"telephone_number": "323-378-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4618 YORK BLVD APT 214",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413367",
"telephone_number": "323-378-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELARDE",
"first_name": "DAISY MAE",
"middle_name": "FAJARDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-09",
"last_updated": "2023-03-09",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "6220",
"primary": true
}
],
"identifiers": [],
"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 Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.