Krizia Gelladuga

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

18981 Issued in CA

Practice address

1901 N Rice Ave Ste 170
Oxnard, CA 93030-7912

Phone

(805) 826-9000

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Amigo Baby Therapy Services Inc

  • Developmental Disabilities Clinic/Center
  • Oxnard, CA
  • NPI 1538607049
  NPD (past)

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1760158703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ROSEWOOD AVE APT 1018",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N RICE AVE STE 170",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307912",
            "telephone_number": "805-826-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLADUGA",
        "first_name": "KRIZIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "18981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "18981",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ab-mcms.com/Login.aspx",
            "affiliation": "N",
            "address_1": "1901 N Rice Ave Ste 170",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930307912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pratima Gautam, OD
• Brooke Gauvin
• Sean F Gavin, D.C.
• David P. Geary, M.D.
• Roxanna Geher, NP
• Camilla Marie Geloneck
• Gemma D Javellana DDS Inc
• General Surgery Medical Group of Ventura County
• Jennifer Retha George
• Terri George

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.