Celica Kido Eagleson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3247 Issued in CA

Practice address

947 3Rd St
Santa Monica, CA 90403-2508

Phone

(310) 430-0597

NPI assigned

Oct 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1508377227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 21ST ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051705",
            "telephone_number": "310-430-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 3RD ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032508",
            "telephone_number": "310-430-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLESON",
        "first_name": "CELICA",
        "middle_name": "KIDO",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige McCall Dyrek, DO
• Leah Dyson
• E Joseph Nadji MD a Medical Corporation
• E. Benji Behroozan DDS Inc.
• E.L. Foroutan Marriage and Family Therapy Inc.
• Early Start Preschools
• East West Holistic Psychotherapy a Marriage and Family Therapy Corpora
• Alexander Eastman, RN
• Karina Eastman, M.D.
• Kimberly Easton, OTD OT/L

• Occupational Therapy Assistant in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.