Organization Active NPI

Felicia a. Ota, M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Encino, CA
National Provider Identifier
1124353107
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A65703 Issued in CA
Legal business name
FELICIA A. OTA, M.D., INC.
Practice address
15503 Ventura Boulevard
Suite 200B
Encino, CA 91436
Phone
(818) 708-1090
Fax
(818) 708-3238
NPI assigned
Oct 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Felicia Ann Ota, M.D.
Title
President
Phone
(818) 708-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A65703 CA Primary

Addresses

Primary practice location

15503 Ventura Boulevard
Suite 200B
Encino, CA 91436

Mailing address

15503 Ventura Boulevard
Suite 200B
Encino, CA 91436
Phone (818) 708-1090

National Provider Directory

National Provider Directory

Locations

15503 Ventura Blvd
Ste 200B
Encino, CA 91436
Phone (818) 708-1090

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1124353107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15503 VENTURA BOULEVARD",
            "address_2": "SUITE 200B",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-708-1090",
            "fax_number": "818-708-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 VENTURA BOULEVARD",
            "address_2": "SUITE 200B",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-708-1090",
            "fax_number": "818-708-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIA A. OTA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "OTA",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-708-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A65703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.