Active NPI
Mikaela Ann Taheri, MOTR/L
- Occupational Therapist
- Escondido, CA
National Provider Identifier
1003258039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13394
- Practice address
- 456 E Grand Ave
Escondido, CA 92025-3319 - Phone
- (760) 740-6301
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- 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 | 13394 | Primary |
Addresses
Primary practice location
456 E Grand Ave
Escondido, CA 92025-3319
Mailing address
4945 Haight TRL
San Diego, CA 92123-6427
Phone (425) 327-2787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308403 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY | |
| 13394 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1003258039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4945 HAIGHT TRL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921236427",
"telephone_number": "425-327-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 E GRAND AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253319",
"telephone_number": "760-740-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHERI",
"first_name": "MIKAELA",
"middle_name": "ANN",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "13394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "308403",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "13394",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.