Active NPI
Michael Douglas White, OTRL
- Occupational Therapist
- Woodland Hills, CA
National Provider Identifier
1710104591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6739
- Practice address
- 5601 De Soto Ave
Woodland Hills, CA 91367-6701 - Phone
- (818) 719-3935
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 6739 | CA | Primary |
Addresses
Primary practice location
5601 De Soto Ave
Woodland Hills, CA 91367-6701
Mailing address
1737 Whitley Ave
301
Los Angeles, CA 90028-4862
Phone (323) 445-0898
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 |
|---|---|---|---|
| 6739 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710104591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 WHITLEY AVE",
"address_2": "301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900284862",
"telephone_number": "323-445-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676701",
"telephone_number": "818-719-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MICHAEL",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "6739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.