Healthcare Provider Details

I. General information

NPI: 1881137925
Provider Name (Legal Business Name): KASA ANDRIELLA OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 ALMA AVE
CASTRO VALLEY CA
94546-3104
US

IV. Provider business mailing address

2406 READ AVE
BELMONT CA
94002-1516
US

V. Phone/Fax

Practice location:
  • Phone: 510-537-3000
  • Fax:
Mailing address:
  • Phone: 510-775-3644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number17170
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: