Ean Kenneth Llanda Tolentino

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21583 Issued in CA

Practice address

3130 Wilshire Blvd Ste 409
Los Angeles, CA 90010-1206

Phone

(213) 389-1004

Fax

(213) 263-2131

NPI assigned

Sep 19, 2020

Sex

Male

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

State licenses

Practice roles

Locations

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.

• High Five Hand Therapy and Rehabilitation la LLC

  • Hand Occupational Therapist
  • Los Angeles, CA
  • NPI 1780159087
  NPD

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1780290353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 TUPELO WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945099366",
            "telephone_number": "925-759-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 WILSHIRE BLVD STE 409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101206",
            "telephone_number": "213-389-1004",
            "fax_number": "213-263-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "EAN KENNETH",
        "middle_name": "LLANDA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Businessemail",
            "affiliation": "N",
            "endpointDescription": "Businessemail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3130 Wilshire Blvd Ste 409",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900101206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Antonio Vegija Tolentino Jr.
• Areli Tolentino
• Berlin Tolentino
• Dante Anthony Tolentino, PHD, RN
• Diane Tolentino
• Jessica Leigh Tolentino, DC
• Lucilene F. Tolentino, M.D.
• Maricris Necio Tolentino, RN
• Angeline M Toles, MSW
• Brandon Toles

• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.