Gloria Vistro Canlas, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

4892 Issued in CA

Practice address

14331 Tiburon Rd
San Leandro, CA 94577-6533

Phone

(510) 541-2032

NPI assigned

Dec 14, 2023

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

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": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1831967355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14331 TIBURON RD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776533",
            "telephone_number": "510-541-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14331 TIBURON RD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776533",
            "telephone_number": "510-541-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANLAS",
        "first_name": "GLORIA",
        "middle_name": "VISTRO",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "4892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Jamilette Campuzano
• Wendy Canales
• Aracely Marilyn Canas
• Savannah Isabel Candelaria
• Carmela Canlas
• Rebecca L Cannon, MFT
• Leonard Cannone, D.C.
• Alyssa Cano, RN
• Melissa Cano
• Melissa Cano

• Physical Rehabilitation Occupational Therapist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Physical Rehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.