Individual provider Active NPI

Christina Esparza, OTR

  • Occupational Therapist
  • Redondo Beach, CA
National Provider Identifier
1407346042
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9910 Issued in CA
Practice address
2602 Nelson Ave
Redondo Beach, CA 90278-2613
Phone
(310) 658-3171
NPI assigned
May 17, 2018
Last updated
May 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 9910 CA Primary

Addresses

Primary practice location

2602 Nelson Ave
Redondo Beach, CA 90278-2613

Mailing address

120 36TH St
Manhattan Beach, CA 90266-3202
Phone (310) 658-3171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417002748 CA Practitioner - Occupational Therapist in Private Practice 0345670121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9910CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Physical Therapy & Rehab Center Inc. Multi-Specialty CurrentSince Jul 24, 2024 Accepting new patients
Bright Day Therapy Center Inc Multi-Specialty Past Accepting new patients

Locations

2616 Clarendon Ave
Huntington Pk, CA 90255
Phone (323) 583-2634

Organizations & group practices 2

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1407346042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 36TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663202",
            "telephone_number": "310-658-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 NELSON AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782613",
            "telephone_number": "310-658-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "CHRISTINA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.