Active NPI
Marissa Aldaco
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1669803029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3875 S Western Ave
Los Angeles, CA 90062-1105 - Phone
- (323) 290-4352
- NPI assigned
- Dec 10, 2013
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3875 S Western Ave
Los Angeles, CA 90062-1105
Mailing address
1001 E Newmark Ave Apt 19
Monterey Park, CA 91755-3167
Phone (323) 632-9484
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": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1669803029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E NEWMARK AVE APT 19",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917553167",
"telephone_number": "323-632-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900621105",
"telephone_number": "323-290-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDACO",
"first_name": "MARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-10",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.