Active NPI
Renee A Ohta, M.F.T.I
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1164556270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 39243
- Practice address
- 3320 W Adams Blvd
Los Angeles, CA 90018-1838 - Phone
- (323) 596-2480
- Fax
- (323) 596-2487
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 39243 | CA | Primary |
Addresses
Primary practice location
3320 W Adams Blvd
Los Angeles, CA 90018-1838
Mailing address
1243 S Dunsmuir Ave Apt 4
Los Angeles, CA 90019-2632
Phone (310) 382-7667
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 |
|---|---|---|---|
| 39243 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Health & Rehabilitation Program | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1467775221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164556270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 S DUNSMUIR AVE APT 4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900192632",
"telephone_number": "310-382-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 W ADAMS BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900181838",
"telephone_number": "323-596-2480",
"fax_number": "323-596-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHTA",
"first_name": "RENEE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "M.F.T.I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "39243",
"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 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.