Active NPI
Armando Paul Iraldo
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1427114925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 3751 Stocker St
Los Angeles, CA 90008-5101 - Phone
- (323) 290-5825
- Fax
- (323) 290-3235
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
3751 Stocker St
Los Angeles, CA 90008-5101
Mailing address
11729 Second Ave
Lynwood, CA 90262
Phone (323) 290-5825
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1427114925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11729 SECOND AVE",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "90262",
"telephone_number": "323-290-5825",
"fax_number": "323-290-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 STOCKER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900085101",
"telephone_number": "323-290-5825",
"fax_number": "323-290-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRALDO",
"first_name": "ARMANDO",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"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 Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.