Active NPI
Sharleen Sarmiento Mariano, PT, DPT
- Physical Therapist
- West Hollywood, CA
National Provider Identifier
1750029906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT301402
- Practice address
- 8354 Santa Monica Blvd
West Hollywood, CA 90069-4313 - Phone
- (323) 843-5294
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | WA | ||
| Physical Therapist | 225100000X | PT301402 | CA | Primary |
Addresses
Primary practice location
8354 Santa Monica Blvd
West Hollywood, CA 90069-4313
Mailing address
4189 Trent Way
Los Angeles, CA 90065-3806
Phone (323) 578-4750
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT301402 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myodetox California PC Inc. | Current | Accepting new patients |
Locations
12833 Ventura Blvd
Unit 153
Studio City, CA 91604
Phone (323) 826-5277
8354 Santa Monica Blvd
West Hollywood, CA 90069
Phone (323) 831-2455
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- West Hollywood, CA
- NPI 1891482519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1750029906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4189 TRENT WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900653806",
"telephone_number": "323-578-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8354 SANTA MONICA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694313",
"telephone_number": "323-843-5294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIANO",
"first_name": "SHARLEEN",
"middle_name": "SARMIENTO",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT301402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
- Margaret Wei Medical PC
- Mari Madsen, M.D., P.C.
- Maria Brickman, M.D. a Medical Corporation
- Maria Cristina Marian
- David James Mariano, MD
- Haley Marie
- Mark a. Chung, O.D., a Professional Corporation
- Mark Barats MD a Professional Corporation
- Mark Lembersky D P M a Professional Corporation
- Cynthia Doris Mark, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.