Alexa Taylor Holguin, MOT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

20208 Issued in CA

Practice address

21 Zaca LN
San Luis Obispo, CA 93401-7344

Phone

(805) 416-3384

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1588217210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 STIMSON AVE APT D",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ZACA LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017344",
            "telephone_number": "805-416-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Zaca Ln",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934017344",
            "country_code": "US",
            "telephone_number": "805-416-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLGUIN",
        "first_name": "ALEXA",
        "middle_name": "TAYLOR",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "20208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Corey Hoffman
• Susan H Hoffman, MD
• Lauren Hogan, MS, RD
• Sarah Ashley Holcomb
• Amanda Marie Holden-Rafferty
• Joseph Edward Holifield, PH.D.
• Christopher Vaughn Holland, M.D.
• Jason C Holland
• Justin Dwayne Holland
• Rita Marie Holland

• Pediatric Occupational Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.