Individual provider Active NPI

Hirotaka Azuma, OTR/L

  • Occupational Therapist
  • Downey, CA
National Provider Identifier
1174227219
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT24698 Issued in CA
Practice address
8614 6TH St
Downey, CA 90241-3513
Phone
(562) 396-7655
NPI assigned
Mar 30, 2023
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT24698 CA Primary

Addresses

Primary practice location

8614 6TH St
Downey, CA 90241-3513

Mailing address

8614 6TH St
Downey, CA 90241-3513
Phone (562) 396-7655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502003023 CA Practitioner - Occupational Therapist in Private Practice 0547625238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Physical Therapy and WellnessGroup PAC ID 5890103162, 14 clinicians

Practice addresses (Care Compare)

12131 Brookhurst St
Suite B
Garden Grove, CA 92840-2863
Phone (714) 360-8828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24698CAMDMarriage & Family Therapist
OT24698CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Physical Therapy and Wellness Occupational Therapist CurrentSince Apr 1, 2023 Accepting new patients
Global Physical Therapy and Wellness PastSince Mar 6, 2022 Accepting new patients

Locations

12131 Brookhurst St
Ste B
Garden Grove, CA 92840
Phone (714) 360-8828

Organizations & group practices 2

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1174227219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 6TH ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413513",
            "telephone_number": "562-396-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 6TH ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413513",
            "telephone_number": "562-396-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUMA",
        "first_name": "HIROTAKA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT24698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.