Shelly Laranang, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3312 Issued in CA

Practice address

3341 E 61St St
Long Beach, CA 90805-3803

Phone

(310) 977-4996

NPI assigned

Oct 15, 2015

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 names 1

• Shelly Acebedo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1740651744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 E 61ST ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908053803",
            "telephone_number": "310-977-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 E 61ST ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908053803",
            "telephone_number": "310-977-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARANANG",
        "first_name": "SHELLY",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "ACEBEDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jared Emiliano Lara
• Jennifer Maria Lara
• Karla Lara
• Linda Lara
• Marianne Lara, NP-C
• Genesis Lares
• Anina Larez, D.D.S.
• Jaqueline Larios
• Paula Larios
• Hasti Larjani, MD

• Occupational Therapy Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.