Active NPI
Nathaniel Shigeru Machado Taniguchi, OTR/L
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1053095901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25070
- Practice address
- 325 S Boyle Ave
Los Angeles, CA 90033-3812 - Phone
- (213) 986-9755
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 25070 | CA | Primary |
Addresses
Primary practice location
325 S Boyle Ave
Los Angeles, CA 90033-3812
Mailing address
15407 Golden Lantern LN
La Mirada, CA 90638-1510
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25070 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1053095901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15407 GOLDEN LANTERN LN",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S BOYLE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900333812",
"telephone_number": "213-986-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIGUCHI",
"first_name": "NATHANIEL",
"middle_name": "SHIGERU MACHADO",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "25070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.