Active NPI
Shiva Ashrafzadeh, COTA
- Occupational Therapy Assistant
- Rancho Palos Verdes, CA
National Provider Identifier
1457075467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 462167
- Practice address
- 5435 Middlecrest Rd
Rancho Palos Verdes, CA 90275-5035 - Phone
- (310) 503-0611
- NPI assigned
- Oct 3, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 462167 | CA | Primary |
Addresses
Primary practice location
5435 Middlecrest Rd
Rancho Palos Verdes, CA 90275-5035
Mailing address
5435 Middlecrest Rd
Rancho Palos Verdes, CA 90275-5035
Phone (310) 503-0611
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 462167 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1457075467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5435 MIDDLECREST RD",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755035",
"telephone_number": "310-503-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5435 MIDDLECREST RD",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755035",
"telephone_number": "310-503-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHRAFZADEH",
"first_name": "SHIVA",
"name_prefix": "Ms.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "462167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.