Active NPI
Tamara Khilla, COTA/L
- Occupational Therapy Assistant
- Lanchester, CA
National Provider Identifier
1750811303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA3800
- Practice address
- 43860 10TH St West
Lanchester, CA 93534 - Phone
- (661) 945-7878
- Fax
- (661) 945-7553
- NPI assigned
- Jun 15, 2017
- Last updated
- Jun 5, 2020
- Sex
- Female
- 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 Therapy Assistant | 224Z00000X | OTA3800 | CA | Primary |
Addresses
Primary practice location
43860 10TH St West
Lanchester, CA 93534
Mailing address
43860 10TH St West
Lanchester, CA 93534
Phone (661) 945-7878
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA3800 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1750811303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43860 10TH ST WEST",
"city": "LANCHESTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-945-7878",
"fax_number": "661-945-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43860 10TH ST WEST",
"city": "LANCHESTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-945-7878",
"fax_number": "661-945-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHILLA",
"first_name": "TAMARA",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "OTA3800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.