Individual provider Active NPI

Mona Miki Iyoya, OTR/L

  • Pediatric Occupational Therapist
  • Montrose, CA
National Provider Identifier
1740448083
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 5847 Issued in CA
Practice address
3700 Park PL
Montrose, CA 91020-1623
Phone
(818) 249-8815
Fax
(818) 249-8814
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 5847 CA
Pediatric Occupational Therapist 225XP0200X OT 5847 CA Primary

Addresses

Primary practice location

3700 Park PL
Montrose, CA 91020-1623

Mailing address

2749 Los Olivos LN
La Crescenta, CA 91214-2947

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT 5847CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Therapy Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1740448083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 LOS OLIVOS LN",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK PL",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201623",
            "telephone_number": "818-249-8815",
            "fax_number": "818-249-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYOYA",
        "first_name": "MONA",
        "middle_name": "MIKI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 5847",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 5847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.