Active NPI
Antoinette Limos Pangilinan, MS OTR
- Pediatric Occupational Therapist
- Oakland, CA
National Provider Identifier
1841480142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 10301
- Practice address
- 180 Grand Ave
Suite 300
Oakland, CA 94612 - Phone
- (510) 835-2132
- NPI assigned
- Aug 1, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT - 598 | HI | |
| Pediatric Occupational Therapist | 225XP0200X | OT 10301 | CA | Primary |
Addresses
Primary practice location
180 Grand Ave
Suite 300
Oakland, CA 94612
Mailing address
5341 Cerro Sur St
Richmond, CA 94803-4166
Phone (510) 734-7700
Other names 1
- Mrs. Antoinette Limos
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 10301 | CA | MD | Pediatric Occupational Therapist |
| OT - 598 | HI | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1841480142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5341 CERRO SUR ST",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948034166",
"telephone_number": "510-734-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 GRAND AVE",
"address_2": "SUITE 300",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94612",
"telephone_number": "510-835-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGILINAN",
"first_name": "ANTOINETTE",
"middle_name": "LIMOS",
"name_prefix": "Mrs.",
"credential": "MS OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "HI",
"license": "OT - 598",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT 10301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANTOINETTE",
"last_name": "LIMOS",
"prefix": "MRS.",
"credential": "MS OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.