Individual provider Active NPI

Nikita Tulshidas Korgaonkar, OTR/L

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1750219259
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
28285 Issued in CA
Practice address
3200 Malabar St
Los Angeles, CA 90063-4021
Phone
(213) 675-2320
NPI assigned
May 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 28285 CA Primary

Addresses

Primary practice location

3200 Malabar St
Los Angeles, CA 90063-4021

Mailing address

14584 S Normandie Ave
Gardena, CA 90247-2452
Phone (213) 675-2320

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

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1750219259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14584 S NORMANDIE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472452",
            "telephone_number": "213-675-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MALABAR ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900634021",
            "telephone_number": "213-675-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORGAONKAR",
        "first_name": "NIKITA",
        "middle_name": "TULSHIDAS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "28285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.