Individual provider Active NPI

Priya Siva, OTR/L, ATP

  • Pediatric Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1487847653
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4252 Issued in CA
Practice address
11930 Avon Way Apt 109
Los Angeles, CA 90066-7429
Phone
(310) 699-1790
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4252 CA
Neurorehabilitation Occupational Therapist 225XN1300X 4252 CA
Pediatric Occupational Therapist 225XP0200X 4252 CA Primary

Addresses

Primary practice location

11930 Avon Way Apt 109
Los Angeles, CA 90066-7429

Mailing address

11930 Avon Way Apt 109
Los Angeles, CA 90066-7429

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

LicenseStateTypeSpecialty
4252CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1487847653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 AVON WAY APT 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 AVON WAY APT 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667429",
            "telephone_number": "310-699-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVA",
        "first_name": "PRIYA",
        "name_prefix": "Ms.",
        "credential": "OTR/L, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "4252",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "4252",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "4252",
            "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 Aug 22, 2007; 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.