Individual provider Active NPI

Losthongsanh Mouanoutoua, OTR/L

  • Occupational Therapist
  • Fresno, CA
National Provider Identifier
1093654600
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5301 Issued in CA
Practice address
890 S 10TH St
Fresno, CA 93702-3506
Phone
(559) 457-3220
NPI assigned
Mar 27, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 5301 CA Primary

Addresses

Primary practice location

890 S 10TH St
Fresno, CA 93702-3506

Mailing address

890 S 10TH St
Fresno, CA 93702-3506
Phone (559) 457-3220

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1093654600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 S 10TH ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023506",
            "telephone_number": "559-457-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 S 10TH ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023506",
            "telephone_number": "559-457-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUANOUTOUA",
        "first_name": "LOSTHONGSANH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.