Bright Beginnings for Kids, Inc.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1719 Issued in CA

Legal business name

BRIGHT BEGINNINGS FOR KIDS, INC.

Practice address

11965 Venice Blvd
Suite 408
Los Angeles, CA 90066-3979

Phone

(310) 316-2190

Fax

(310) 316-2713

NPI assigned

Nov 19, 2013

Organization subpart

No

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

Authorized official

Name

Debra M Shiroma

Title

President

Phone

(310) 316-2190

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1750711289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD",
            "address_2": "SUITE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663979",
            "telephone_number": "310-316-2190",
            "fax_number": "310-316-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD",
            "address_2": "SUITE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663979",
            "telephone_number": "310-316-2190",
            "fax_number": "310-316-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BEGINNINGS FOR KIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "SHIROMA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-316-2190"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "1719",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.