Maipa Vang Tolonen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

15399 Issued in CA

Practice address

714 W Olympic Blvd Ste 614
Los Angeles, CA 90015-1485

Phone

(323) 419-3869

NPI assigned

Apr 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Living Center California LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Huntington Beach, CA
  • NPI 1275124737
  NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1841043395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W OLYMPIC BLVD STE 614",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151485",
            "telephone_number": "323-419-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W OLYMPIC BLVD STE 614",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151485",
            "telephone_number": "323-419-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLONEN",
        "first_name": "MAIPA",
        "middle_name": "VANG",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "CA",
            "license": "15399",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "CA",
            "license": "15399",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CA",
            "license": "15399",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Anthony Tolliver
• Hudad Tolloui, PSYD
• Lauren Alexandria Tolman
• Scott Tolman
• Vernon Thorpe Tolo, MD
• Tara Tolooee, PTA
• Tolos Physical Therapy Inc
• Christopher J Tolos
• Martin Tolosa, PA-C
• Dia Saron Tolson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.