NPIMap

Organization Active NPI

Hand Center of Southern California

  • Hand Occupational Therapist
  • Canoga Park, CA
National Provider Identifier
1740422765
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
HAND CENTER OF SOUTHERN CALIFORNIA
Practice address
22110 Roscoe Blvd
Suite 302
Canoga Park, CA 91304-3845
Phone
(818) 347-7110
NPI assigned
Apr 6, 2009
Organization subpart
Yes
Parent organization
HAND CENTER OF SOUTHERN CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Robin Derose
Title
President
Phone
(818) 785-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X Primary

Addresses

Primary practice location

22110 Roscoe Blvd
Suite 302
Canoga Park, CA 91304-3845

Mailing address

7120 Hayvenhurst Ave
Suite 215
Van Nuys, CA 91406-3813
Phone (818) 785-9515

Other identifiers 1

IdentifierTypeStateIssuer
225XH1200XOtherTAXONOMY CODE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053946 CA DME Supplier - Independently-Practicing Occupational Therapist 4385718527 Practice locations: Canoga Park, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Hand Center of Southern California

Locations

22110 Roscoe Blvd
Ste 302
West Hills, CA 91304
Phone (818) 347-7110

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1740422765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE",
            "address_2": "SUITE 215",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063813",
            "telephone_number": "818-785-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 302",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043845",
            "telephone_number": "818-347-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND CENTER OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAND CENTER OF SOUTHERN CALIFORNIA",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "DEROSE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-785-9515"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "225XH1200X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.