Active NPI
Lauralyn Ann Blanco, OTR/L
- Occupational Therapist
- Castro Valley, CA
National Provider Identifier
1558872234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2267
- Practice address
- 5063 August CT
Castro Valley, CA 94546-2521 - Phone
- (510) 909-8427
- NPI assigned
- Oct 20, 2017
- Last updated
- Oct 20, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2267 | CA | Primary |
Addresses
Primary practice location
5063 August CT
Castro Valley, CA 94546-2521
Mailing address
5063 August CT
Castro Valley, CA 94546-2521
Phone (510) 909-8427
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2267 | CA | MD | Occupational Therapist |
NPI Registry JSON
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": "1558872234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5063 AUGUST CT",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945462521",
"telephone_number": "510-909-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5063 AUGUST CT",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945462521",
"telephone_number": "510-909-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "LAURALYN",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-20",
"last_updated": "2017-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT2267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- 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.