Individual provider Active NPI

Jennie Laurel Tomiko Eto, MS, OTR/L

  • Hand Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1851672703
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT12090 Issued in CA
Practice address
8600 W 3Rd St
Suite 3B
Los Angeles, CA 90048-3338
Phone
(310) 275-2130
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12090 CA
Hand Occupational Therapist 225XH1200X OT12090 CA Primary

Addresses

Primary practice location

8600 W 3Rd St
Suite 3B
Los Angeles, CA 90048-3338

Mailing address

8600 W. 3Rd Street
Suite 3B
Los Angeles, CA 90048
Phone (310) 275-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
72.95
Promoting interoperability
90
Improvement activities
40
Cost
68.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12090CAMDOccupational Therapist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1851672703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W. 3RD STREET",
            "address_2": "SUITE 3B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-275-2130",
            "fax_number": "310-275-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W 3RD ST",
            "address_2": "SUITE 3B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483338",
            "telephone_number": "310-275-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETO",
        "first_name": "JENNIE",
        "middle_name": "LAUREL TOMIKO",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12090",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT12090",
            "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 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.