Active NPI
Jeffrey Palomino
- Occupational Therapist
- Torrance, CA
National Provider Identifier
1598397168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23329
- Practice address
- 19401 S Vermont Ave Ste 200
Torrance, CA 90502-1029 - Phone
- (310) 323-6887
- NPI assigned
- Feb 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Occupational Therapist | 225X00000X | 23329 | CA | Primary |
Addresses
Primary practice location
19401 S Vermont Ave Ste 200
Torrance, CA 90502-1029
Mailing address
12440 Firestone Blvd Ste 3015
Norwalk, CA 90650-9333
Other practice location 1
12440 Firestone Blvd Ste 3015
Norwalk, CA 90650-9333
Phone (562) 864-7821
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 |
|---|---|---|---|
| 23329 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1598397168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12440 FIRESTONE BLVD STE 3015",
"city": "NORWALK",
"state": "CA",
"postal_code": "906509333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 S VERMONT AVE STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021029",
"telephone_number": "310-323-6887"
}
],
"practiceLocations": [
{
"address_1": "12440 Firestone Blvd Ste 3015",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CA",
"postal_code": "906509333",
"country_code": "US",
"telephone_number": "562-864-7821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALOMINO",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-11",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.