Active NPI
Maidi Anele Lazol
- Occupational Therapist
- Turlock, CA
National Provider Identifier
1669052767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22083
- Practice address
- 1801 N Olive Ave
Turlock, CA 95382-2568 - Phone
- (209) 410-7200
- NPI assigned
- Apr 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22083 | CA | Primary |
Addresses
Primary practice location
1801 N Olive Ave
Turlock, CA 95382-2568
Mailing address
1840 Addison Dr
Turlock, CA 95382-8647
Phone (209) 777-5619
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 |
|---|---|---|---|
| 22083 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1669052767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 ADDISON DR",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953828647",
"telephone_number": "209-777-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N OLIVE AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822568",
"telephone_number": "209-410-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZOL",
"first_name": "MAIDI ANELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-12",
"last_updated": "2021-04-12",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "22083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.