Grace Elise Shandalov, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11581 Issued in CA

Practice address

24 Zander Drive
Orinda, CA 94563

Phone

(925) 683-7144

NPI assigned

Jun 8, 2017

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 1

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1730618026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ZANDER DR",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ZANDER DRIVE",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "94563",
            "telephone_number": "925-683-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDALOV",
        "first_name": "GRACE",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-1782711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Scheffel, LAC
• Peter A Schneider, M.D.
• Cindy Schulmeister
• Gwynne L Searls, PA
• Mary R Sears, M.D.
• Katherine Rose Shaw
• Sheldon C Low
• Debra Sheppard, LMFT
• Nazia Sheriff, M.D.
• Kelly Shana Shintani, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.