Active NPI
Allison Lustbader, OTD, OTR/L
- Occupational Therapist
- Reseda, CA
National Provider Identifier
1003769290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24979
- Practice address
- 19452 Hart St
Reseda, CA 91335-3735 - Phone
- (818) 342-6183
- NPI assigned
- Feb 17, 2026
- 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 | 24979 | CA | Primary |
Addresses
Primary practice location
19452 Hart St
Reseda, CA 91335-3735
Mailing address
333 S Beaudry Ave FL 17
Los Angeles, CA 90017-5105
Phone (213) 241-6200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24979 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1003769290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE FL 17",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900175105",
"telephone_number": "213-241-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19452 HART ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353735",
"telephone_number": "818-342-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSTBADER",
"first_name": "ALLISON",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-17",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "24979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.