Individual provider Active NPI

Rubith Mendoza-Ramos, COTA

  • Occupational Therapy Assistant
  • West Covina, CA
National Provider Identifier
1780273466
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA4503 Issued in CA
Practice address
1242 W Cameron Ave Apt 211
West Covina, CA 91790-3566
Phone
(626) 262-0946
NPI assigned
Jan 15, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X OTA4503 CA Primary

Addresses

Primary practice location

1242 W Cameron Ave Apt 211
West Covina, CA 91790-3566

Mailing address

1242 W Cameron Ave Apt 211
West Covina, CA 91790-3566
Phone (626) 262-0946

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
OTA4503CAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1780273466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 W CAMERON AVE APT 211",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903566",
            "telephone_number": "626-262-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 W CAMERON AVE APT 211",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903566",
            "telephone_number": "626-262-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-RAMOS",
        "first_name": "RUBITH",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA4503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.