Individual provider Active NPI

Taruna Koura, OTR/L

  • Occupational Therapist
  • Chatsworth, CA
National Provider Identifier
1043691983
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
22365 Golden Canyon Cir
Chatsworth, CA 91311-1261
Phone
(757) 218-0491
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

22365 Golden Canyon Cir
Chatsworth, CA 91311-1261

Mailing address

22365 Golden Canyon Cir
Chatsworth, CA 91311-1261
Phone (757) 218-0491

Other identifiers 2

IdentifierTypeStateIssuer
15419OtherCALICENSED OCCUPATIONAL THERAPIST
343235OtherOCCUPATIONAL THERAPIST REGISTERED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817001897 CA Practitioner - Occupational Therapist in Private Practice 2365825726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1043691983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22365 GOLDEN CANYON CIR",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111261",
            "telephone_number": "757-218-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22365 GOLDEN CANYON CIR",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111261",
            "telephone_number": "757-218-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURA",
        "first_name": "TARUNA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED OCCUPATIONAL THERAPIST",
            "identifier": "15419",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST REGISTERED",
            "identifier": "343235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.