Active NPI
Marie-Anne Larsen
- Skilled Nursing Facility
- Guadalupe, CA
National Provider Identifier
1356881858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 883
- Practice address
- 5078 Pacific Dunes Cir
Guadalupe, CA 93434 - Phone
- (805) 478-7881
- NPI assigned
- Mar 2, 2017
- Last updated
- Mar 2, 2017
- 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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 883 | CA | Primary |
Addresses
Primary practice location
5078 Pacific Dunes Cir
Guadalupe, CA 93434
Mailing address
5078 Pacific Dunes
Guadalupe, CA 93434
Phone (805) 478-7881
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 |
|---|---|---|---|
| 883 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1356881858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5078 PACIFIC DUNES",
"city": "GUADALUPE",
"state": "CA",
"postal_code": "93434",
"telephone_number": "805-478-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5078 PACIFIC DUNES CIR",
"city": "GUADALUPE",
"state": "CA",
"postal_code": "93434",
"telephone_number": "805-478-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "MARIE-ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guadalupe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.