Active NPI
Erin Marisa Stanford, MA, OTR/L
- Pediatric Occupational Therapist
- Encino, CA
National Provider Identifier
1376825257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 12154
- Practice address
- 17609 Ventura Blvd
Suite #215
Encino, CA 91316-3858 - Phone
- (818) 530-7971
- Fax
- (818) 501-8325
- NPI assigned
- Sep 15, 2011
- 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 | 12154 | CA | Primary |
Addresses
Primary practice location
17609 Ventura Blvd
Suite #215
Encino, CA 91316-3858
Mailing address
17609 Ventura Blvd
Suite #215
Encino, CA 91316-3858
Phone (818) 530-7971
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12154 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aha Kids OT | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1376825257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17609 VENTURA BLVD",
"address_2": "SUITE #215",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163858",
"telephone_number": "818-530-7971",
"fax_number": "818-501-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17609 VENTURA BLVD",
"address_2": "SUITE #215",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163858",
"telephone_number": "818-530-7971",
"fax_number": "818-501-8325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANFORD",
"first_name": "ERIN",
"middle_name": "MARISA",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "12154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.