Individual provider Active NPI

Ruby Shin, MS, OTR/L

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1427451129
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14502 Issued in CA
Practice address
403 W Adams Blvd
Los Angeles, CA 90007-2664
Phone
(213) 742-1000
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14502 CA Primary

Addresses

Primary practice location

403 W Adams Blvd
Los Angeles, CA 90007-2664

Mailing address

23586 Calabasas Rd
#206
Calabasas, CA 91302-1319

Other practice location 1

23586 Calabasas Rd
#206
Calabasas, CA 91302-1319
Phone (818) 224-3837

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Hospital Current Accepting new patients
Healing Hands Rehab Inc Occupational Therapist CurrentSince Nov 1, 2014 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 1, 2017 Accepting new patients
Healing Hands Rehab Inc CurrentSince Nov 1, 2014 Accepting new patients
Orthopaedic Hospital Medical Group Inc CurrentSince Dec 20, 2019 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 1, 2017 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

23586 Calabasas Rd
Ste 206
Calabasas, CA 91302
Phone (818) 222-0235

403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1427451129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23586 CALABASAS RD",
            "address_2": "#206",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072664",
            "telephone_number": "213-742-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23586 Calabasas Rd",
            "address_2": "#206",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021319",
            "country_code": "US",
            "telephone_number": "818-224-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "RUBY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14502",
            "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 May 7, 2020; 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.