Active NPI
Nicole G Ochoa
- Physical Therapy Assistant
- West Covina, CA
National Provider Identifier
1497486955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 51863
- Practice address
- 855 N Lark Ellen Ave
West Covina, CA 91791-1099 - Phone
- (626) 727-6282
- Fax
- (909) 992-3543
- NPI assigned
- Jun 23, 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 51863 | CA | Primary |
Addresses
Primary practice location
855 N Lark Ellen Ave
West Covina, CA 91791-1099
Mailing address
3357 Conata St
Duarte, CA 91010-1678
Phone (626) 205-4356
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 |
|---|---|---|---|
| 51863 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1497486955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3357 CONATA ST",
"city": "DUARTE",
"state": "CA",
"postal_code": "910101678",
"telephone_number": "626-205-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 N LARK ELLEN AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911099",
"telephone_number": "626-727-6282",
"fax_number": "909-992-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHOA",
"first_name": "NICOLE",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "51863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.