Individual provider Active NPI

Julia Walston, AA

  • Occupational Therapy Assistant
  • Lynwood, CA
National Provider Identifier
1366175481
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
3680 E Imperial Hwy Ste 504
Lynwood, CA 90262-2659
Phone
(310) 807-7545
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

3680 E Imperial Hwy Ste 504
Lynwood, CA 90262-2659

Mailing address

3528 Del Amo Blvd
Lakewood, CA 90712-3034
Phone (310) 707-5581

Other practice location 1

3528 Del Amo Blvd
Lakewood, CA 90712-3034
Phone (310) 707-5581

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CentralReach.com

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
Credentials
Associate of Arts

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1366175481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 DEL AMO BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123034",
            "telephone_number": "310-707-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY STE 504",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622659",
            "telephone_number": "310-807-7545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3528 Del Amo Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907123034",
            "country_code": "US",
            "telephone_number": "310-707-5581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSTON",
        "first_name": "JULIA",
        "credential": "AA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CentralReach.com",
            "affiliation": "N",
            "address_1": "3680 E Imperial Hwy Ste 504",
            "city": "Lynwood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902622659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.