Active NPI
Nicholas Anthony Mariano, MOT; OTR/L
- Pediatric Occupational Therapist
- Sacramento, CA
National Provider Identifier
1700014347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3310
- Practice address
- 5270 Elvas Ave
Sacramento, CA 95819-2332 - Phone
- (530) 574-0864
- NPI assigned
- Jun 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3310 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | 3310 | CA | Primary |
Addresses
Primary practice location
5270 Elvas Ave
Sacramento, CA 95819-2332
Mailing address
2707 Bidwell St Apt 2
Davis, CA 95618-0369
Phone (530) 574-0864
Other names 1
- Nick Anthony Mariano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1550 Broadstone Pkwy Apt
Suite 4113
Folsom, CA 95630-6877
667 Lighthouse Ave
Suite 201
Pacific Grove, CA 93950-2687
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3310 | CA | MD | Certified Registered Nurse Anesthetist |
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.
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- Pacific Grove, CA
- NPI 1336638634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1700014347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 BIDWELL ST APT 2",
"city": "DAVIS",
"state": "CA",
"postal_code": "956180369",
"telephone_number": "530-574-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 ELVAS AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958192332",
"telephone_number": "530-574-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIANO",
"first_name": "NICHOLAS",
"middle_name": "ANTHONY",
"credential": "MOT; OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3310",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "3310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICK",
"last_name": "MARIANO",
"middle_name": "ANTHONY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacramento, CA
- Mariana's Services
- Natalia Julia Mariani, BCBA
- Jessica Malgapo Mariano, NP
- Megan Mariano
- Melissa Maravilla Mariano
- Maricarl B. Ramos DDS, a Professional Corporation
- Marilou C. Tan, D.D.S. Professional Dental Corporation (Pioneer Family Dental Practice)
- Martha Lucia Marin-Cun, LCSW
- Anthony Adam Marin
- Jennifer Marin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.