Active NPI
Susan Avila, OTR/L
- Occupational Therapist
- Huntington Park, CA
National Provider Identifier
1609441252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8250
- Practice address
- 6425 Miles Ave
Huntington Park, CA 90255-4315 - Phone
- (310) 567-3057
- NPI assigned
- May 26, 2021
- Sex
- Female
- 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 | 8250 | CA | Primary |
Addresses
Primary practice location
6425 Miles Ave
Huntington Park, CA 90255-4315
Mailing address
1520 W 212TH St
Torrance, CA 90501-2901
Phone (310) 567-3057
Other practice location 1
3850 E Esther St
Long Beach, CA 90804-2009
Phone (310) 567-3057
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": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1609441252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W 212TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905012901",
"telephone_number": "310-567-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 MILES AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554315",
"telephone_number": "310-567-3057"
}
],
"practiceLocations": [
{
"address_1": "3850 E Esther St",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908042009",
"country_code": "US",
"telephone_number": "310-567-3057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVILA",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "8250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.