Active NPI
Aaron Carl Baltazar, OTR/L
- Occupational Therapist
- Redlands, CA
National Provider Identifier
1841698610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13713
- Practice address
- 1901 W Lugonia Ave
Ste 230
Redlands, CA 92374-9703 - Phone
- (909) 557-1600
- Fax
- (909) 557-1732
- NPI assigned
- Dec 10, 2014
- Last updated
- Feb 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13713 | CA | Primary |
Addresses
Primary practice location
1901 W Lugonia Ave
Ste 230
Redlands, CA 92374-9703
Mailing address
PO Box 2252
Palm Springs, CA 92263-2252
Phone (760) 835-5380
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1841698610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2252",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922632252",
"telephone_number": "760-835-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W LUGONIA AVE",
"address_2": "STE 230",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923749703",
"telephone_number": "909-557-1600",
"fax_number": "909-557-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALTAZAR",
"first_name": "AARON CARL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-10",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "13713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.