Active NPI
Jennifer Mihoko Ota, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1265681647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31022
- Practice address
- 1976 S Sepulveda Blvd
Los Angeles, CA 90025-5620 - Phone
- (310) 473-2971
- Fax
- (310) 473-7372
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31022 | CA | Primary |
Addresses
Primary practice location
1976 S Sepulveda Blvd
Los Angeles, CA 90025-5620
Mailing address
1976 S Sepulveda Blvd
Los Angeles, CA 90025-5620
Phone (310) 473-2971
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 |
|---|---|---|---|
| 31022 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1265681647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1976 S SEPULVEDA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255620",
"telephone_number": "310-473-2971",
"fax_number": "310-473-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1976 S SEPULVEDA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255620",
"telephone_number": "310-473-2971",
"fax_number": "310-473-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTA",
"first_name": "JENNIFER",
"middle_name": "MIHOKO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31022",
"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 Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.