Active NPI
Alex Nishi
- Mental Health Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1154767838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- 14667
- Practice address
- 4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062 - Phone
- (323) 361-2350
- NPI assigned
- May 21, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | 14667 | CA | Primary |
Addresses
Primary practice location
4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062
Mailing address
4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062
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 |
|---|---|---|---|
| 14667 | CA | MD | Mental Health Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1154767838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # 53",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # 53",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHI",
"first_name": "ALEX",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "CA",
"license": "14667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 10, 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.