Individual provider Active NPI

Elyse Noda, OTR/L

  • Occupational Therapist
  • Norco, CA
National Provider Identifier
1215510300
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2641 Hamner Ave
Unit 102, 106, 110
Norco, CA 92860
Phone
(626) 536-4834
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 Primary

Addresses

Primary practice location

2641 Hamner Ave
Unit 102, 106, 110
Norco, CA 92860

Mailing address

2641 Hamner Ave
Unit 102, 106, 110
Norco, CA 92860
Phone (626) 536-4834

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

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1215510300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 HAMNER AVE",
            "address_2": "UNIT 102, 106, 110",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "626-536-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 HAMNER AVE",
            "address_2": "UNIT 102, 106, 110",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "626-536-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODA",
        "first_name": "ELYSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.