Active NPI
Maydi Miriam Leibowitz
- Occupational Therapist
- Garden Grove, CA
National Provider Identifier
1700229408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3942
- Practice address
- 13071 Brookhurst St
Ste 110
Garden Grove, CA 92843-1091 - Phone
- (714) 636-7410
- NPI assigned
- Apr 11, 2013
- 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 | 3942 | CA | Primary |
Addresses
Primary practice location
13071 Brookhurst St
Ste 110
Garden Grove, CA 92843-1091
Mailing address
13071 Brookhurst St
Suite 110
Garden Grove, CA 92843-1091
Phone (714) 636-7410
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3942 | CA | MD | Speech-Language Assistant |
| 3542 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1700229408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13071 BROOKHURST ST",
"address_2": "SUITE 110",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431091",
"telephone_number": "714-636-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13071 BROOKHURST ST",
"address_2": "STE 110",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431091",
"telephone_number": "714-636-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIBOWITZ",
"first_name": "MAYDI",
"middle_name": "MIRIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.