Active NPI
Nazuki Ito, MA, OTR/L
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1619292323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9655
- Practice address
- 6315 Arizona PL
Suite a
Los Angeles, CA 90045-1252 - Phone
- (310) 337-7115
- Fax
- (310) 216-6153
- NPI assigned
- Apr 6, 2010
- 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 | 9655 | CA | Primary |
Addresses
Primary practice location
6315 Arizona PL
Suite a
Los Angeles, CA 90045-1252
Mailing address
8717 Venice Blvd
Los Angeles, CA 90034-3216
Phone (310) 337-7115
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9655 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy West, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Los Angeles, CA
- NPI 1225232523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1619292323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343216",
"telephone_number": "310-337-7115",
"fax_number": "310-216-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6315 ARIZONA PL",
"address_2": "SUITE A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900451252",
"telephone_number": "310-337-7115",
"fax_number": "310-216-6153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITO",
"first_name": "NAZUKI",
"name_prefix": "Miss",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-06",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9655",
"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 Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.