Maria Anna Leah Moncada David, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

18174 Issued in CA

Practice address

5024 Stetson St
Roseville, CA 95747-9639

Phone

(650) 303-3348

NPI assigned

Feb 21, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1679030027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 STETSON ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479639",
            "telephone_number": "650-303-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 STETSON ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479639",
            "telephone_number": "650-303-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MARIA ANNA LEAH",
        "middle_name": "MONCADA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "18174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HRLA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "010000667",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "264771",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "18174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David F Shirley M D P C (David F Shirley, MD)
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• David Spangler PHD Inc
• Floyd Carlton David, MD
• Kayla Ann David
• Meghan Norton Davignon, MD
• Nestor Saul Davila-Carranza, LCSW
• Amey Laura Davis, MS, LMFT
• Aquibi Davis
• Bryn Davis

• Occupational Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.