Organization Active NPI

Social Sprouts, Inc.

  • Pediatric Occupational Therapist
  • San Pedro, CA
National Provider Identifier
1245063254
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
SOCIAL SPROUTS, INC.
Practice address
1 Rolling Hills Prep Way
San Pedro, CA 90732-5200
Phone
(310) 245-6657
NPI assigned
Aug 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Aishah Muhammad-Flissinger, OTD, OTR/LNPI 1598531030
Title
President
Phone
(310) 245-6657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1 Rolling Hills Prep Way
San Pedro, CA 90732-5200

Mailing address

4176 Carfax Ave
Lakewood, CA 90713-3101

National Provider Directory

National Provider Directory

Locations

1 Rolling Hills Prep Way
San Pedro, CA 90732
Phone (310) 245-6657

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1245063254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4176 CARFAX AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907133101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROLLING HILLS PREP WAY",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907325200",
            "telephone_number": "310-245-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL SPROUTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD-FLISSINGER",
        "authorized_official_first_name": "AISHAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-245-6657",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.