Cheryl Jayne Bushart

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA908 Issued in CA

Practice address

5969 Nelda St
Unit 1
Simi Valley, CA 93063-4059

Phone

(805) 581-5440

NPI assigned

Oct 9, 2007

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

Other names 1

• Cheryl Jayne Recio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1649468331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 NELDA ST",
            "address_2": "UNIT 1",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930634059",
            "telephone_number": "805-581-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 NELDA ST",
            "address_2": "UNIT 1",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930634059",
            "telephone_number": "805-581-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHART",
        "first_name": "CHERYL",
        "middle_name": "JAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "RECIO",
            "middle_name": "JAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Daniela Burbano Pimentle, PHYSICIAN ASSISTANT
• Lorraine Burke, MS, RD
• Cindy Diane Burkhart, CFM
• Kathleen Burrell, MSW
• Kyra Rose Burrows
• Jun Li Sharon Cai, DO
• Khristina Caldarelli, PA-C
• Jolie Caldwell Ker, MT
• Cali Care Home Health, Inc
• California Kidney Medical Group Inc

• Occupational Therapy Assistant in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.