Vista OT

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1151 Issued in CA

Legal business name

VISTA OT

Practice address

261 Vista Verde Way
Portola Valley, CA 94028-8149

Phone

(408) 306-0954

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Eiri Hayashigatani Inenaga, MS, LOT

Title

Occupational Therapist

Phone

(408) 306-0954

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1265880942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 VISTA VERDE WAY",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940288149",
            "telephone_number": "408-306-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 VISTA VERDE WAY",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940288149",
            "telephone_number": "408-306-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA OT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "INENAGA",
        "authorized_official_first_name": "EIRI",
        "authorized_official_middle_name": "HAYASHIGATANI",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "408-306-0954",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LOT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Portola Valley, CA
• Providers in Portola Valley, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.