Brandon Imamshah, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT13766 Issued in CA

Practice address

3700 Gosford Rd
Ste G
Bakersfield, CA 93309-7694

Phone

(661) 832-9737

Fax

(661) 832-9738

NPI assigned

Oct 27, 2014

Last updated

Oct 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1114322674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 23RD ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012306",
            "telephone_number": "661-633-3954",
            "fax_number": "661-327-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 GOSFORD RD",
            "address_2": "STE G",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097694",
            "telephone_number": "661-832-9737",
            "fax_number": "661-832-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAMSHAH",
        "first_name": "BRANDON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-27",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60203079",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "282234",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT13766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.