Active NPI
Marydel Delgado Del Mar, OTR
- Occupational Therapist
- Torrance, CA
National Provider Identifier
1649732645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7753
- Practice address
- 16617 Faysmith Avenue
Torrance, CA 90504 - Phone
- (760) 424-9123
- NPI assigned
- Apr 1, 2019
- Last updated
- Apr 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | |||
| Occupational Therapist | 225X00000X | 7753 | CA | Primary |
Addresses
Primary practice location
16617 Faysmith Avenue
Torrance, CA 90504
Mailing address
22519 Hawthorne Blvd Suite F
Torrance, CA 90505-2509
Phone (760) 424-9123
Other practice location 1
16617 Faysmith Ave
Torrance, CA 90504-1721
Phone (760) 424-9123
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | delmarotr@gmail.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190709001510 | CA | Practitioner - Occupational Therapist in Private Practice | 1052645090 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7753 | CA | MD | Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Torrance, CA
- NPI 1689136616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1649732645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22519 HAWTHORNE BLVD SUITE F",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052509",
"telephone_number": "760-424-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16617 FAYSMITH AVENUE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90504",
"telephone_number": "760-424-9123"
}
],
"practiceLocations": [
{
"address_1": "16617 Faysmith Ave",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905041721",
"country_code": "US",
"telephone_number": "760-424-9123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEL MAR",
"first_name": "MARYDEL",
"middle_name": "DELGADO",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "7753",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "delmarotr@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "work email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "16617 Faysmith Avenue",
"city": "Torrance",
"state": "CA",
"country_code": "US",
"postal_code": "90504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Torrance, CA
- Del Amo Pet Imaging Center LLC
- Del Amo Professional Pharmacy
- Del Amo Smiles Dentistry, Prof. Corp (Del Amo Smiles Dentistry)
- Ashley Del Angel
- Patrick Z. Del Conte, MS, C.T.R.S.
- Maria Berenice Del Real Zepeda
- Kimberly Del Toro, MD
- Laura E Del Val, NURSE PRACTITIONER
- Brenda Del Valle
- Haydee Del Valle, MS, BCBA, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.