Individual provider Active NPI

Samantha Navalta, COTA/L

  • Pediatric Occupational Therapist
  • Whittier, CA
National Provider Identifier
1255752671
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
21204 Issued in CA
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

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 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

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.

Verify at the official NPI Registry.