Active NPI
Eileen Sandra Seiberlich, OTR/L, CHT
- Hand Occupational Therapist
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT5585
- Practice address
- 101 Hodencamp Rd
Ste 100
Thousand Oaks, CA 91360-5836 - Phone
- (805) 495-0516
- NPI assigned
- Jun 15, 2005
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT5585 | CA | Primary |
Addresses
Primary practice location
101 Hodencamp Rd
Ste 100
Thousand Oaks, CA 91360-5836
Mailing address
101 Hodencamp Rd
Ste 100
Thousand Oaks, CA 91360-5836
Phone (805) 495-0516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4484430001 | Other | CA | DMERC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Hodencamp Rd
Thousand Oaks, CA 91360-5831
Phone (805) 495-0516
3695 Alamo St
Suite 205
Simi Valley, CA 93063-2188
Phone (805) 520-7990
5601 De Soto Ave
Woodland Hills, CA 91367-6701
Phone (818) 719-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| The Hand & Upper Extremity Center Inc | Hand | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
3695 Alamo St
Ste 205
Simi Valley, CA 93063
Phone (805) 520-7990
101 Hodencamp Rd
Ste 100
Thousand Oaks, CA 91360
Phone (805) 495-0516
888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Oxnard, CA
- NPI 1275756652
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1770588956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HODENCAMP RD",
"address_2": "STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605836",
"telephone_number": "805-495-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HODENCAMP RD",
"address_2": "STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605836",
"telephone_number": "805-495-0516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIBERLICH",
"first_name": "EILEEN",
"middle_name": "SANDRA",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT5585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4484430001",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5601 De Soto Ave",
"city": "Woodland Hills",
"state": "CA",
"country_code": "US",
"postal_code": "913676701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.