Active NPI
Salina M Jivan, OTD, OTR/L
- Occupational Therapist
- Riverside, CA
National Provider Identifier
1912573874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21696
- Practice address
- 17050 Arnold Dr
Riverside, CA 92518-2806 - Phone
- (951) 697-2100
- NPI assigned
- Jun 1, 2021
- Last updated
- Jun 1, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21696 | CA | Primary |
Addresses
Primary practice location
17050 Arnold Dr
Riverside, CA 92518-2806
Mailing address
21248 Wilder Ave
Lakewood, CA 90715-2415
Phone (916) 764-0516
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 |
|---|---|---|---|
| 21696 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1912573874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21248 WILDER AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907152415",
"telephone_number": "916-764-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17050 ARNOLD DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925182806",
"telephone_number": "951-697-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIVAN",
"first_name": "SALINA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.