Active NPI
Michael Vayntrub, OTR/L
- Occupational Therapist
- Bakersfield, CA
National Provider Identifier
1558004036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22431
- Practice address
- 5417 Pacer Valley CT
Bakersfield, CA 93313-4304 - Phone
- (661) 654-6559
- NPI assigned
- Apr 14, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22431 | CA | Primary |
Addresses
Primary practice location
5417 Pacer Valley CT
Bakersfield, CA 93313-4304
Mailing address
7849 Oceanus Dr
Los Angeles, CA 90046-2042
Phone (310) 909-3817
Other practice location 1
10819 Villa Hermosa Drive
Bakersfield, CA 93311
Phone (661) 654-6559
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | BestNotes | Direct |
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 |
|---|---|---|---|
| 22431 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1558004036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7849 OCEANUS DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900462042",
"telephone_number": "310-909-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5417 PACER VALLEY CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933134304",
"telephone_number": "661-654-6559"
}
],
"practiceLocations": [
{
"address_1": "10819 Villa Hermosa Drive",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "93311",
"country_code": "US",
"telephone_number": "661-654-6559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAYNTRUB",
"first_name": "MICHAEL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "22431",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "BestNotes",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5417 Pacer Valley Ct",
"city": "Bakersfield",
"state": "CA",
"country_code": "US",
"postal_code": "933134304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.