Active NPI
John Lee
- Occupational Therapist
- Beverly Hills, CA
National Provider Identifier
1720482995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 9921
- Practice address
- 8929 Wilshire Blvd
#304
Beverly Hills, CA 90211-1938 - Phone
- (310) 854-0529
- Fax
- (310) 854-0768
- NPI assigned
- Oct 17, 2014
- 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 | OT 9921 | CA | Primary |
Addresses
Primary practice location
8929 Wilshire Blvd
#304
Beverly Hills, CA 90211-1938
Mailing address
906 Michelle CT
#213
Montebello, CA 90640-3465
Phone (909) 964-3375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB224263 | Other | CA | MEDICARE PTAN |
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 |
|---|---|---|---|
| OT 9921 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1720482995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 MICHELLE CT",
"address_2": "#213",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403465",
"telephone_number": "909-964-3375",
"fax_number": "909-620-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 WILSHIRE BLVD",
"address_2": "#304",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111938",
"telephone_number": "310-854-0529",
"fax_number": "310-854-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-17",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 9921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB224263",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.