Active NPI
Antoinette Aniceto, OTR/L
- Occupational Therapist
- Oakland, CA
National Provider Identifier
1902565864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18475
- Practice address
- 2361 E 29TH St
Oakland, CA 94606-3511 - Phone
- (510) 343-6154
- NPI assigned
- Dec 8, 2021
- 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 | 18475 | CA | Primary |
Addresses
Primary practice location
2361 E 29TH St
Oakland, CA 94606-3511
Mailing address
20408 W Esmerelda LN
Porter Ranch, CA 91326-4705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18475 | CA | MD | Occupational Therapist |
Organizations & group practices 1
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": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1902565864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20408 W ESMERELDA LN",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2361 E 29TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946063511",
"telephone_number": "510-343-6154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANICETO",
"first_name": "ANTOINETTE",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.