Individual provider Active NPI

Myra Cristina Belande

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1497144034
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8407 Issued in CA
Practice address
202 S Juanita Ave Apt 2-211
Los Angeles, CA 90004-5929
Phone
(818) 390-3224
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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 8407 CA Primary

Addresses

Primary practice location

202 S Juanita Ave Apt 2-211
Los Angeles, CA 90004-5929

Mailing address

202 S Juanita Ave Apt 2-211
Los Angeles, CA 90004-5929
Phone (818) 390-3224

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8407CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1497144034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S JUANITA AVE APT 2-211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045929",
            "telephone_number": "818-390-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S JUANITA AVE APT 2-211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045929",
            "telephone_number": "818-390-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANDE",
        "first_name": "MYRA CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8407",
            "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 Jan 20, 2015; 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.