Maritza Mireles, MA OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 9487 Issued in CA

Practice address

4562 Westinghouse St Ste a
Ventura, CA 93003-5797

Phone

(805) 644-8255

NPI assigned

May 14, 2008

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maritza Villegas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Seaside Speech Therapy, Inc

  • Physical Therapy Clinic/Center
  • Ventura, CA
  • NPI 1336554260
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548437817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 VARSITY ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033863",
            "telephone_number": "760-805-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 WESTINGHOUSE ST STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035797",
            "telephone_number": "805-644-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Santa Ana Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014134",
            "country_code": "US",
            "telephone_number": "714-647-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "MARITZA",
        "credential": "MA OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 9487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARITZA",
            "last_name": "VILLEGAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Soleyman Mirakhor, MD
• Miramar Eye Specialists Medical Group, Inc (Miramar Eye Specialists Medical Group)
• Melinda Miranda
• Keeley Mircetic
• Nevaeh Angel Mireles-Roque
• Jasmine D Mistry
• Bryan Mitchell
• James F Mitchell Jr., MD
• Michael Hewitt Mitchell, MD
• Nicole Anais Mitchell, CATC III

• Occupational Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.