Active NPI
Eyouel Hailu
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1467105502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21428
- Practice address
- 2901 S Sepulveda Blvd Apt 366
Los Angeles, CA 90064-3993 - Phone
- (818) 602-8571
- NPI assigned
- Jan 29, 2022
- Sex
- Male
- 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 Therapist | 225X00000X | 21428 | CA | Primary |
Addresses
Primary practice location
2901 S Sepulveda Blvd Apt 366
Los Angeles, CA 90064-3993
Mailing address
2901 S Sepulveda Blvd Apt 366
Los Angeles, CA 90064-3993
Phone (818) 602-8571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21428 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feld Care Therapy Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- San Diego, CA
- NPI 1265478358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643414400000",
"number": "1467105502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 S SEPULVEDA BLVD APT 366",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643993",
"telephone_number": "818-602-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 S SEPULVEDA BLVD APT 366",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643993",
"telephone_number": "818-602-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILU",
"first_name": "EYOUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-29",
"last_updated": "2022-01-29",
"certification_date": "2022-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21428",
"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 Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.