Lilibeth Moran, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4476 Issued in CA

Practice address

2061 Wright Ave
La Verne, CA 91750-5837

Phone

(909) 519-8912

NPI assigned

Jan 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1184376394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 N DUXFORD AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025625",
            "telephone_number": "626-723-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 WRIGHT AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505837",
            "telephone_number": "909-519-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "LILIBETH",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "4476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "JQU415W04477",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette Monge-Hermosillo
• Kysara Montoya
• Javon Allen Moore
• Paisley Demetria Moore
• Victoria Perez Morales
• Alexander Michael Moreno
• Arlene Susan Pentecostes Moreno, M.S., R.D.
• Cynthia Moreno, LCSW
• Jennifer Fay Mosson
• Marisa Monique Mugica, ASW

• Occupational Therapy Assistant in La Verne, CA
• Providers in La Verne, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.