Active NPI
Bethrese Elane Padini, OTR/L
- Pediatric Occupational Therapist
- Hacienda Heights, CA
National Provider Identifier
1700340387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 15454 Gale Ave
Hacienda Heights, CA 91745-1500 - Phone
- (626) 330-1538
- NPI assigned
- Jan 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Occupational Therapist | 225XP0200X | CA | Primary |
Addresses
Primary practice location
15454 Gale Ave
Hacienda Heights, CA 91745-1500
Mailing address
2700 S Azusa Ave Apt 195
West Covina, CA 91792-1620
Other practice location 1
5564 N Figueroa St
Los Angeles, CA 90042-4120
Phone (323) 341-5100
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": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1700340387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 S AZUSA AVE APT 195",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15454 GALE AVE",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917451500",
"telephone_number": "626-330-1538"
}
],
"practiceLocations": [
{
"address_1": "5564 N Figueroa St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900424120",
"country_code": "US",
"telephone_number": "323-341-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADINI",
"first_name": "BETHRESE",
"middle_name": "ELANE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hacienda Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.