Cyrene Mari Caronan, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5764 Issued in CA

Practice address

5801 Crestridge Rd
Rancho Palos Verdes, CA 90275-4961

Phone

(877) 582-0153

NPI assigned

Nov 5, 2021

Last updated

Nov 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1902561731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 W PARK WESTERN DR UNIT 44",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322280",
            "telephone_number": "310-308-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 CRESTRIDGE RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754961",
            "telephone_number": "877-582-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARONAN",
        "first_name": "CYRENE",
        "middle_name": "MARI",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "5764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayne M Brenneman, M.D.
• Julia Brown, RDN
• California Medical Supplies LLC
• Canaan Inc
• Janet Lois Carnay, MFT.,ATR-BC
• Kelly Chang, PHARMD
• Yen Ping Chen, DDS
• Cherry Dental
• David CHI, D. C.
• Justine Chiang

• Occupational Therapy Assistant in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.