Organization Active NPI

Lymphavilla Occupational Therapy Inc.

  • Rehabilitation Clinic/Center
  • Torrance, CA
National Provider Identifier
1699515015
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LYMPHAVILLA OCCUPATIONAL THERAPY INC.
Practice address
3455 Torrance Blvd
Torrance, CA 90503-5801
Phone
(310) 626-5314
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alejandro VillanuevaNPI 1730836370
Title
Founder
Phone
(310) 626-5314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3455 Torrance Blvd
Torrance, CA 90503-5801

Mailing address

3455 Torrance Blvd
Torrance, CA 90503-5801
Phone (310) 626-5314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712003901 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931644051 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

3455 Torrance Blvd
Torrance, CA 90503
Phone (310) 626-5314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1699515015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035801",
            "telephone_number": "310-626-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035801",
            "telephone_number": "310-626-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHAVILLA OCCUPATIONAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "310-626-5314"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.