Active NPI
Candice Price, OTR/L
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1912500786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20075
- Practice address
- 865 Law St
San Diego, CA 92109-2531 - Phone
- (310) 994-0830
- NPI assigned
- Nov 16, 2020
- Last updated
- Nov 10, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 20075 | CA | Primary |
Addresses
Primary practice location
865 Law St
San Diego, CA 92109-2531
Mailing address
7522 La Jolla Blvd Ste B
La Jolla, CA 92037-4720
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20075 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela Yvonne Acupuncture Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- San Diego, CA
- NPI 1285096545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1912500786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7522 LA JOLLA BLVD STE B",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374720",
"fax_number": "760-692-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 LAW ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921092531",
"telephone_number": "310-994-0830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "CANDICE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "20075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.