Active NPI
Jonathan Loo
- Recreation Therapist
- Downey, CA
National Provider Identifier
1104469337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 81242
- Practice address
- 7601 Imperial Hwy
Downey, CA 90242-3456 - Phone
- (562) 385-6398
- NPI assigned
- Oct 21, 2019
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 5663-T | CA | |
| Recreation Therapist | 225800000X | 81242 | CA | Primary |
Addresses
Primary practice location
7601 Imperial Hwy
Downey, CA 90242-3456
Mailing address
7601 Imperial Hwy
Downey, CA 90242-3456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81242 | CA | MD | Pharmacist |
| 5663-T | CA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1104469337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423456",
"telephone_number": "562-385-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOO",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "CA",
"license": "5663-T",
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "CA",
"license": "81242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.