YEVGENY EDD JOZEF MARABABOL MEDALLE OTR/L
NPI 1124885843
Occupational Therapist in Lakewood, CA
About Yevgeny Edd Jozef Marababol Medalle Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YEVGENY EDD JOZEF MARABABOL MEDALLE OTR/L (NPI 1124885843) is an individual occupational therapist in Lakewood, California, licensed in California (25642) and active in the NPI registry since February 2024.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yevgeny Edd Jozef Marababol Medalle Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yevgeny Edd Jozef Medalle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakewood, CA 90805
- Reassigned Medicare billing, California enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKEWOOD, CA 90805
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Yevgeny Edd Jozef Medalle's NPI number?
The NPI number for Yevgeny Edd Jozef Medalle is 1124885843. It was assigned to this individual provider in the NPPES registry on February 29, 2024.
Where is Yevgeny Edd Jozef Medalle located?
Yevgeny Edd Jozef Medalle practices at 3300 E South St Ste 203, Lakewood, CA 90805. The listed phone number is (562) 512-3320.
What is Yevgeny Edd Jozef Medalle's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Yevgeny Edd Jozef Medalle enrolled in Medicare?
Yes. Yevgeny Edd Jozef Medalle is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yevgeny Edd Jozef Medalle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yevgeny Edd Jozef Medalle reassigns Medicare benefits to Functional Rehabilitation Physical Therapy PC (Lakewood, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yevgeny Edd Jozef Medalle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yevgeny Edd Jozef Medalle was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.