Active NPI
Sandra Lopez, BS
- Pediatric Occupational Therapist
- La Mirada, CA
National Provider Identifier
1871907873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 7670
- Practice address
- 14814 Gagely Dr
La Mirada, CA 90638-2116 - Phone
- (626) 533-5157
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 7670 | CA | Primary |
Addresses
Primary practice location
14814 Gagely Dr
La Mirada, CA 90638-2116
Mailing address
14814 Gagely Dr
La Mirada, CA 90638-2116
Phone (626) 533-5157
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1871907873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14814 GAGELY DR",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382116",
"telephone_number": "626-533-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14814 GAGELY DR",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382116",
"telephone_number": "626-533-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "SANDRA",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "7670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.