Active NPI
Michelle Marumoto
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1184094518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15549
- Practice address
- 501 W Olympic Blvd Apt 523
Los Angeles, CA 90015-1449 - Phone
- (760) 518-0339
- NPI assigned
- Sep 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 15549 | CA | Primary |
Addresses
Primary practice location
501 W Olympic Blvd Apt 523
Los Angeles, CA 90015-1449
Mailing address
12442 Sebastian PL
Tustin, CA 92782-1509
Phone (760) 518-0339
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 |
|---|---|---|---|
| 15549 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1184094518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12442 SEBASTIAN PL",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821509",
"telephone_number": "760-518-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W OLYMPIC BLVD APT 523",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151449",
"telephone_number": "760-518-0339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUMOTO",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15549",
"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 Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.