Active NPI
Mariola A Dumitru, OCCUPATIONA THERAPIS
- Occupational Therapist
- Sacramento, CA
National Provider Identifier
1861791113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7580
- Practice address
- 3601 Marconi Ave
Sacramento, CA 95821-5309 - Phone
- (916) 481-1305
- NPI assigned
- Mar 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7580 | CA | Primary |
Addresses
Primary practice location
3601 Marconi Ave
Sacramento, CA 95821-5309
Mailing address
16503 Tierra Rd
Grass Valley, CA 95949-8128
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7580 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1861791113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16503 TIERRA RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959498128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 MARCONI AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958215309",
"telephone_number": "916-481-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMITRU",
"first_name": "MARIOLA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OCCUPATIONA THERAPIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "7580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.