Individual provider Active NPI

Stephanie Caruso Afshar, OTR

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1154540003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4949 Issued in CA
Practice address
239 S Barrington Ave # 6
Los Angeles, CA 90049-3318
Phone
(310) 612-6146
NPI assigned
Apr 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4949 CA Primary

Addresses

Primary practice location

239 S Barrington Ave # 6
Los Angeles, CA 90049-3318

Mailing address

239 S Barrington Ave # 6
Los Angeles, CA 90049-3318
Phone (310) 612-6146

Other names 1

  • Prof. Stephanie Caruso Afshar Professional name

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

LicenseStateTypeSpecialty
4949CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Caruso Afshar Otrl & Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154540003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 S BARRINGTON AVE # 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493318",
            "telephone_number": "310-612-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S BARRINGTON AVE # 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493318",
            "telephone_number": "310-612-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFSHAR",
        "first_name": "STEPHANIE",
        "middle_name": "CARUSO",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "4949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "AFSHAR",
            "middle_name": "CARUSO",
            "prefix": "PROF.",
            "credential": "OCCUPATIONAL THERAPY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.