Active NPI
David Graham
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1639067689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3374
- Practice address
- 3533 Motor Ave
Los Angeles, CA 90034-4806 - Phone
- (310) 836-8900
- NPI assigned
- Jun 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Human Factors Occupational Therapist | 225XH1300X | |||
| Occupational Therapist | 225X00000X | 3374 | CA | Primary |
Addresses
Primary practice location
3533 Motor Ave
Los Angeles, CA 90034-4806
Mailing address
2507 S Bronson Ave Apt 410
Los Angeles, CA 90018-1976
Phone (661) 733-1056
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 |
|---|---|---|---|
| 3374 | CA | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1639067689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 S BRONSON AVE APT 410",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900181976",
"telephone_number": "661-733-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 MOTOR AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900344806",
"telephone_number": "310-836-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Human Factors",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3374",
"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 Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.