Manoj K Parida, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT817 Issued in CA

Practice address

350 Nugget CT
San Dimas, CA 91773-2312

Phone

(818) 314-5774

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Therapy CenterGroup PAC ID 1557617735, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Marna Health Services, Inc.

  • Long Term Care Hospital
  • San Bernardino, CA
  • NPI 1811306277

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Advanced Therapy Center

  • Hand Occupational Therapist
  • Torrance, CA
  • NPI 1265930903
  Medicare reassignment Care Compare group Authorized official
• Advance Rehab Services, Inc

  • Neurorehabilitation Occupational Therapist
  • San Dimas, CA
  • NPI 1801430061
  NPD Authorized official

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1972079457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NUGGET CT",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732312",
            "telephone_number": "818-314-5774",
            "fax_number": "818-484-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NUGGET CT",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732312",
            "telephone_number": "818-314-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIDA",
        "first_name": "MANOJ",
        "middle_name": "K",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT817",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "CA",
            "license": "OT817",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT817",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Palacios, MA, AMFT
• Marissa Palanza
• Karina Palominos
• Sruthi Pandeti
• Hasmin Ilagan Panem, OTR/L
• Lisa S Park-Chang, PHARMD
• Scott Parrish, PHARMD
• John Franklin Paschal, MD
• Samantha Pastoriza
• Aviinaash Pasula

• Occupational Therapist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.