Active NPI
Kimberly Patricia Roberson, OTS
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1386161610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1540 Alcazar Street CHP 133
Los Angeles, CA 90090-1823 - Phone
- (323) 442-1851
- NPI assigned
- Aug 28, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1540 Alcazar Street CHP 133
Los Angeles, CA 90090-1823
Mailing address
1540 Alcazar St # 133
Los Angeles, CA 90089-0080
Phone (323) 442-1851
Other practice location 1
14102 Moore Ct
Irvine, CA 92606-1823
Phone (415) 726-7956
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live & Learn Wellness Institute LLC | 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.
-
- Occupational Therapist
- Irvine, CA
- NPI 1922605377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386161610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 ALCAZAR ST # 133",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890080",
"telephone_number": "323-442-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 ALCAZAR STREET CHP 133",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900901823",
"telephone_number": "323-442-1851"
}
],
"practiceLocations": [
{
"address_1": "14102 Moore Ct",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926061823",
"country_code": "US",
"telephone_number": "415-726-7956",
"fax_number": "415-726-7956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERSON",
"first_name": "KIMBERLY",
"middle_name": "PATRICIA",
"credential": "OTS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Ronald Robbins
- Lorna Robedillo
- Maria Larisa Francesca Robedillo, MS, CCC-SLP
- Joshua Michael Robers, NP
- Aristela Roberson
- Marceides Roberson
- Robert a Rubin, M.D.
- Robert a. Kilroy, DC a Chiropractic Corporation
- Robert B Gerber DDS a Prof Corp (Tower Dental Group)
- Robert B Weber MD a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.