Individual provider Active NPI

Jamie Lord-Tovar, COTA

  • Occupational Therapy Assistant
  • Alhambra, CA
National Provider Identifier
1245899848
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4784 Issued in CA
Practice address
1000 S Fremont Ave Unit 2
Alhambra, CA 91803-8834
Phone
(626) 289-7472
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4784 CA Primary

Addresses

Primary practice location

1000 S Fremont Ave Unit 2
Alhambra, CA 91803-8834

Mailing address

102 N Sierra Bonita Ave
Pasadena, CA 91106-2110
Phone (310) 425-9816

Other practice location 1

1111 W 6th St Ste 11
Los Angeles, CA 90017-1800
Phone (213) 607-4400

Other names 1

  • Jamie Christine Lord Former name

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

LicenseStateTypeSpecialty
4784CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1245899848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N SIERRA BONITA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062110",
            "telephone_number": "310-425-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE UNIT 2",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038834",
            "telephone_number": "626-289-7472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W 6th St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171800",
            "country_code": "US",
            "telephone_number": "213-607-4400",
            "fax_number": "213-250-7245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORD-TOVAR",
        "first_name": "JAMIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "4784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "LORD",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.