Active NPI
Samantha Navalta, COTA/L
- Pediatric Occupational Therapist
- Whittier, CA
National Provider Identifier
1255752671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 21204
- Practice address
- 8135 Painter Ave
Suite 200
Whittier, CA 90602-3158 - Phone
- (562) 698-6600
- Fax
- (562) 698-6613
- NPI assigned
- Jan 2, 2014
- Reactivated
- Apr 7, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 21204 | CA | Primary |
Addresses
Primary practice location
8135 Painter Ave
Suite 200
Whittier, CA 90602-3158
Mailing address
5730 Faust Ave
Lakewood, CA 90713-1211
Phone (562) 881-7813
Other names 1
- Samantha Guan
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": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1255752671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 FAUST AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131211",
"telephone_number": "562-881-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8135 PAINTER AVE",
"address_2": "SUITE 200",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906023158",
"telephone_number": "562-698-6600",
"fax_number": "562-698-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVALTA",
"first_name": "SAMANTHA",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"deactivation_date": "2021-03-09",
"reactivation_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "21204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "GUAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.