Active NPI
Spencer Sandage, OTR
- Occupational Therapist
- Torrance, CA
National Provider Identifier
1689205379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17847
- Practice address
- 20820 Earl St
Torrance, CA 90503-4307 - Phone
- (310) 371-1228
- NPI assigned
- Jan 31, 2020
- Sex
- Male
- 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 | 17847 | CA | Primary |
Addresses
Primary practice location
20820 Earl St
Torrance, CA 90503-4307
Mailing address
21601 Avalon Blvd Apt 529
Carson, CA 90745-2476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17847 | Other | CA | OT LICENSE |
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 |
|---|---|---|---|
| 17847 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1689205379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21601 AVALON BLVD APT 529",
"city": "CARSON",
"state": "CA",
"postal_code": "907452476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20820 EARL ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034307",
"telephone_number": "310-371-1228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDAGE",
"first_name": "SPENCER",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-31",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "17847",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.