Individual provider Active NPI

Kaley Kubokawa, OTR/L

  • Occupational Therapist
  • Torrance, CA
National Provider Identifier
1477149599
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21877 Issued in CA
Practice address
1952 W 235TH St
Torrance, CA 90501-6022
Phone
(310) 490-1686
NPI assigned
Dec 13, 2020
Last updated
Dec 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 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 21877 CA Primary

Addresses

Primary practice location

1952 W 235TH St
Torrance, CA 90501-6022

Mailing address

1952 W 235TH St
Torrance, CA 90501-6022
Phone (310) 490-1686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223001433 CA Practitioner - Occupational Therapist in Private Practice 6103231261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Spine Orthopaedics CurrentSince Nov 1, 2023 Accepting new patients
Huntington Orthopedic Surgical Group CurrentSince May 27, 2021 Accepting new patients

Locations

39 Congress St
Ste 200
Pasadena, CA 91105
Phone (626) 795-0282

837 S Fair Oaks Ave
Ste 204
Pasadena, CA 91105
Phone (626) 627-2141

23456 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 375-8700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1477149599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 W 235TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016022",
            "telephone_number": "310-490-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 W 235TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016022",
            "telephone_number": "310-490-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBOKAWA",
        "first_name": "KALEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.

Verify at the official NPI Registry.