Active NPI
Melissa Idelson, OTR/L
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1245117118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4731
- Practice address
- 2023 S Westgate Ave
Los Angeles, CA 90025-6118 - Phone
- (310) 753-2842
- NPI assigned
- Aug 20, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 4731 | CA | Primary |
Addresses
Primary practice location
2023 S Westgate Ave
Los Angeles, CA 90025-6118
Mailing address
2023 S Westgate Ave
Los Angeles, CA 90025-6118
Phone (310) 753-2842
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 |
|---|---|---|---|
| 4731 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Success Center | Occupational Therapist | Current | Accepting new patients |
Locations
2023 S Westgate Ave
Los Angeles, CA 90025
Phone (310) 899-9597
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1245117118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 S WESTGATE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256118",
"telephone_number": "310-753-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 S WESTGATE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256118",
"telephone_number": "310-753-2842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDELSON",
"first_name": "MELISSA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "4731",
"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 Aug 20, 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.