Active NPI
Victoria Melnikova, O.T
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1083855647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2692
- Practice address
- 505 Shatto PL Ste 200
Los Angeles, CA 90020-1777 - Phone
- (213) 736-0450
- NPI assigned
- Mar 11, 2009
- Sex
- Female
- 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 | OT2692 | CA | Primary |
Addresses
Primary practice location
505 Shatto PL Ste 200
Los Angeles, CA 90020-1777
Mailing address
5334 Lindley Ave Unit 109
Encino, CA 91316-2907
Phone (323) 449-5577
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1083855647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5334 LINDLEY AVE UNIT 109",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162907",
"telephone_number": "323-449-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SHATTO PL STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201777",
"telephone_number": "213-736-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNIKOVA",
"first_name": "VICTORIA",
"credential": "O.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT2692",
"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 Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.