Individual provider Active NPI

Agnes Wambui Muigai

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1083936868
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5558 Issued in CA
Practice address
7188 W Sunset Blvd Ste 200
Los Angeles, CA 90046-4446
Phone
(323) 436-0006
Fax
(323) 436-0666
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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 OT5558 CA Primary

Addresses

Primary practice location

7188 W Sunset Blvd Ste 200
Los Angeles, CA 90046-4446

Mailing address

520 Salley Lee Ave.
Azusa, CA 91702
Phone (323) 436-0006

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

LicenseStateTypeSpecialty
OT5558CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1083936868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SALLEY LEE AVE.",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "91702",
            "telephone_number": "323-436-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7188 W SUNSET BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464446",
            "telephone_number": "323-436-0006",
            "fax_number": "323-436-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIGAI",
        "first_name": "AGNES",
        "middle_name": "WAMBUI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT5558",
            "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 Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.