Individual provider Active NPI

Ayn Rycca Mostrales Teves, COTA/L

  • Occupational Therapy Assistant
  • Los Angeles, CA
National Provider Identifier
1558928192
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4797 Issued in CA
Practice address
903 Crenshaw Blvd Ste 101
Los Angeles, CA 90019-1965
Phone
(323) 549-0100
Fax
(323) 549-0103
NPI assigned
May 20, 2019
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4797 CA Primary

Addresses

Primary practice location

903 Crenshaw Blvd Ste 101
Los Angeles, CA 90019-1965

Mailing address

903 Crenshaw Blvd Ste 101
Los Angeles, CA 90019-1965
Phone (323) 549-0100

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

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1558928192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191965",
            "telephone_number": "323-549-0100",
            "fax_number": "323-549-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191965",
            "telephone_number": "323-549-0100",
            "fax_number": "323-549-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVES",
        "first_name": "AYN RYCCA",
        "middle_name": "MOSTRALES",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "4797",
            "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 May 20, 2019; 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.