Active NPI
Russell Nakajima, OTR/L
- Hand Occupational Therapist
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 26282
- Practice address
- 550 Saint Charles Dr Ste 100
Thousand Oaks, CA 91360-3969 - Phone
- (805) 449-1125
- Fax
- (805) 449-4113
- NPI assigned
- Sep 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 26282 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
550 Saint Charles Dr Ste 100
Thousand Oaks, CA 91360-3969
Mailing address
550 Saint Charles Dr Ste 100
Thousand Oaks, CA 91360-3969
Phone (805) 449-1125
Other practice location 1
696 Hampshire Rd # 180A
Westlake Village, CA 91361-2699
Phone (805) 497-1700
Other practice location 2
18911 Nordhoff St Ste 37
Northridge, CA 91324-3774
Phone (805) 497-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3413 W Pacific Ave
Suite 200
Burbank, CA 91505-1598
Phone (818) 593-4270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26282 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Rehabilitation Inc | Current | Accepting new patients | |
| Meridian Hand Therapy Inc | Hand | Current | Accepting new patients |
| Meridian Hand Therapy Inc | Hand | Current | Accepting new patients |
| Special Service for Groups, Inc. | Past | Accepting new patients |
Locations
3413 W Pacific Ave
Ste 200
Burbank, CA 91505
Phone (818) 841-3936
1520 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-0711
18911 Nordhoff St
Ste 37
Northridge, CA 91324
Phone (818) 435-2800
550 Saint Charles Dr
Ste 100
Thousand Oaks, CA 91360
Phone (805) 449-1125
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Montebello, CA
- NPI 1063570653
-
- Hand Occupational Therapist
- Thousand Oaks, CA
- NPI 1053395186
-
- Durable Medical Equipment & Medical Supplies
- Thousand Oaks, CA
- NPI 1154537421
Hand
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gardena, CA
- NPI 1669503629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1063298164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 SAINT CHARLES DR STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913603969",
"telephone_number": "805-449-1125",
"fax_number": "805-449-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 SAINT CHARLES DR STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913603969",
"telephone_number": "805-449-1125",
"fax_number": "805-449-4113"
}
],
"practiceLocations": [
{
"address_1": "696 Hampshire Rd # 180A",
"address_purpose": "LOCATION",
"city": "Westlake Village",
"state": "CA",
"postal_code": "913612699",
"country_code": "US",
"telephone_number": "805-497-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18911 Nordhoff St Ste 37",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913243774",
"country_code": "US",
"telephone_number": "805-497-1700",
"fax_number": "818-435-2810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAKAJIMA",
"first_name": "RUSSELL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-05",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "26282",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.