Active NPI
Elia Attar
- Gerontology Occupational Therapist
- Tarzana, CA
National Provider Identifier
1245990357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- Practice address
- 18144 Killion St Unit 8
Tarzana, CA 91356-3656 - Phone
- (818) 430-2841
- NPI assigned
- Dec 30, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | Primary |
Addresses
Primary practice location
18144 Killion St Unit 8
Tarzana, CA 91356-3656
Mailing address
18144 Killion St Unit 8
Tarzana, CA 91356-3656
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1245990357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18144 KILLION ST UNIT 8",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18144 KILLION ST UNIT 8",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563656",
"telephone_number": "818-430-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTAR",
"first_name": "ELIA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-30",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.