Active NPI
Vanessa Isabel Godinez
- Occupational Therapy Assistant
- Van Nuys, CA
National Provider Identifier
1124785704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5613
- Practice address
- 7335 Van Nuys Blvd Ste 118
Van Nuys, CA 91405-1951 - Phone
- (310) 282-8352
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5613 | CA | Primary |
Addresses
Primary practice location
7335 Van Nuys Blvd Ste 118
Van Nuys, CA 91405-1951
Mailing address
15630 Rosales St
Sylmar, CA 91342-3646
Phone (818) 926-9932
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 |
|---|---|---|---|
| 5613 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1124785704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15630 ROSALES ST",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913423646",
"telephone_number": "818-926-9932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7335 VAN NUYS BLVD STE 118",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051951",
"telephone_number": "310-282-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODINEZ",
"first_name": "VANESSA",
"middle_name": "ISABEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "5613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.