Active NPI
Brett Tyler Buford, OTD
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1841713823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1721 Griffin Ave
Los Angeles, CA 90031-3312 - Phone
- (323) 221-4134
- NPI assigned
- Jul 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1721 Griffin Ave
Los Angeles, CA 90031-3312
Mailing address
1540 Alcazar St # St-133
Los Angeles, CA 90089-0080
Other practice location 1
4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062
Phone (323) 361-3849
Other practice location 2
4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062
Phone (323) 361-3849
Other practice location 3
1540 Alcazar St # St-133
Los Angeles, CA 90089-0080
Phone (323) 442-3550
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19563 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1841713823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 ALCAZAR ST # ST-133",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 GRIFFIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900313312",
"telephone_number": "323-221-4134"
}
],
"practiceLocations": [
{
"address_1": "4650 W Sunset Blvd # 53",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276062",
"country_code": "US",
"telephone_number": "323-361-3849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4650 W Sunset Blvd # 53",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276062",
"country_code": "US",
"telephone_number": "323-361-3849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1540 Alcazar St # St-133",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900890080",
"country_code": "US",
"telephone_number": "323-442-3550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUFORD",
"first_name": "BRETT",
"middle_name": "TYLER",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.