Active NPI
Aldin Jimmy Baal Cerillo, OTD, OTR/L
- Occupational Therapist
- La Mesa, CA
National Provider Identifier
1972218485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23977
- Practice address
- 5360 Jackson Dr Ste 110
La Mesa, CA 91942-3012 - Phone
- (858) 755-5200
- NPI assigned
- Jan 18, 2023
- Sex
- Male
- 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 | 23977 | CA | Primary |
Addresses
Primary practice location
5360 Jackson Dr Ste 110
La Mesa, CA 91942-3012
Mailing address
3909 Monroe Ave Unit 206
San Diego, CA 92116-4669
Phone (858) 231-3976
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 |
|---|---|---|---|
| 23977 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1972218485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 MONROE AVE UNIT 206",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921164669",
"telephone_number": "858-231-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5360 JACKSON DR STE 110",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423012",
"telephone_number": "858-755-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERILLO",
"first_name": "ALDIN JIMMY",
"middle_name": "BAAL",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.