Individual provider Active NPI

Erendira Coria Sierra Rodriguez, MS OTR/L

  • Occupational Therapist
  • Union City, CA
National Provider Identifier
1396073003
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9931 Issued in CA
Practice address
32236 Glenbrook St
Union City, CA 94587-1846
Phone
(510) 750-0171
Fax
(510) 784-6374
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9931 CA Primary

Addresses

Primary practice location

32236 Glenbrook St
Union City, CA 94587-1846

Mailing address

32236 Glenbrook St
Union City, CA 94587-1846
Phone (510) 750-0171

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9931CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1396073003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32236 GLENBROOK ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871846",
            "telephone_number": "510-750-0171",
            "fax_number": "510-784-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32236 GLENBROOK ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871846",
            "telephone_number": "510-750-0171",
            "fax_number": "510-784-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA RODRIGUEZ",
        "first_name": "ERENDIRA",
        "middle_name": "CORIA",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.