Active NPI
Andrew Jacob Issa, OTR
- Hand Occupational Therapist
- Chatsworth, CA
National Provider Identifier
1518697929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 23879
- Practice address
- 9700 De Soto Ave
Chatsworth, CA 91311-4409 - Phone
- (818) 882-8100
- NPI assigned
- Jun 16, 2022
- Last updated
- Sep 14, 2026
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 23879 | CA | Primary |
Addresses
Primary practice location
9700 De Soto Ave
Chatsworth, CA 91311-4409
Mailing address
2809 Old Glory CT
Modesto, CA 95355-8696
Phone (209) 480-5877
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1518697929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 OLD GLORY CT",
"city": "MODESTO",
"state": "CA",
"postal_code": "953558696",
"telephone_number": "209-480-5877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 DE SOTO AVE",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913114409",
"telephone_number": "818-882-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSA",
"first_name": "ANDREW",
"middle_name": "JACOB",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-16",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "23879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatsworth, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.