Active NPI
Gina Erdman
- Neurorehabilitation Occupational Therapist
- Long Beach, CA
National Provider Identifier
1629694161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 7910
- Practice address
- 1824 Ostrom Ave
Long Beach, CA 90815-3646 - Phone
- (310) 633-3968
- NPI assigned
- Jun 21, 2020
- 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 |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 7910 | CA | Primary |
Addresses
Primary practice location
1824 Ostrom Ave
Long Beach, CA 90815-3646
Mailing address
1824 Ostrom Ave
Long Beach, CA 90815-3646
Phone (310) 633-3968
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": "1592697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592697600000",
"number": "1629694161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 OSTROM AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153646",
"telephone_number": "310-633-3968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 OSTROM AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153646",
"telephone_number": "310-633-3968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMAN",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-21",
"last_updated": "2020-06-21",
"certification_date": "2020-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CA",
"license": "7910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.