Active NPI
Harold Bob Balazo Molano, LVN, COTA
- Occupational Therapy Assistant
- Glendale, CA
National Provider Identifier
1700265345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3169
- Practice address
- 420 W Windsor Rd Apt 3
Glendale, CA 91204-1931 - Phone
- (310) 999-1098
- NPI assigned
- May 28, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3169 | CA | Primary |
Addresses
Primary practice location
420 W Windsor Rd Apt 3
Glendale, CA 91204-1931
Mailing address
420 W Windsor Rd Apt 3
Glendale, CA 91204-1931
Phone (310) 999-1098
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": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1700265345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W WINDSOR RD APT 3",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041931",
"telephone_number": "310-999-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W WINDSOR RD APT 3",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041931",
"telephone_number": "310-999-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLANO",
"first_name": "HAROLD BOB",
"middle_name": "BALAZO",
"credential": "LVN, COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "3169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.