Individual provider Active NPI

Sergio Espanto, OTR/L, CHT

  • Hand Occupational Therapist
  • Altadena, CA
National Provider Identifier
1871789966
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT 3730 Issued in CA
Practice address
657 E Mendocino St
Altadena, CA 91001-2336
Phone
(323) 828-7718
Fax
(626) 798-4743
NPI assigned
Sep 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Occupational Therapist 225XE1200X OT 3730 CA
Hand Occupational Therapist 225XH1200X OT 3730 CA Primary

Addresses

Primary practice location

657 E Mendocino St
Altadena, CA 91001-2336

Mailing address

657 E Mendocino St
Altadena, CA 91001-2336
Phone (323) 828-7718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000533 CA Practitioner - Occupational Therapist in Private Practice 5698836179 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 3730CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Rehab Center, Inc. CurrentSince Dec 1, 2020 Accepting new patients

Locations

505 S Virgil Ave
Ste 203
Los Angeles, CA 90020
Phone (323) 732-3232

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1871789966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E MENDOCINO ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012336",
            "telephone_number": "323-828-7718",
            "fax_number": "626-798-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E MENDOCINO ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012336",
            "telephone_number": "323-828-7718",
            "fax_number": "626-798-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPANTO",
        "first_name": "SERGIO",
        "name_prefix": "Mr.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "CA",
            "license": "OT 3730",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 3730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.