Active NPI
Jenna Marie Dodson
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1669861969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13513
- Practice address
- 505 N la Brea Ave
Los Angeles, CA 90036-2015 - Phone
- (323) 937-4860
- NPI assigned
- Jan 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 13513 | CA | Primary |
Addresses
Primary practice location
505 N la Brea Ave
Los Angeles, CA 90036-2015
Mailing address
12530 Culver Blvd Apt 6
Los Angeles, CA 90066-6677
Phone (814) 937-5426
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 |
|---|---|---|---|
| 13513 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420848000000",
"number": "1669861969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12530 CULVER BLVD APT 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666677",
"telephone_number": "814-937-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N LA BREA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900362015",
"telephone_number": "323-937-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "JENNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-10",
"last_updated": "2015-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "13513",
"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 Jan 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.