Individual provider Active NPI

Mishelle Arguzon Johanson

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1932394681
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5034 Issued in CA
Practice address
2385 Roscomare Rd
#E8
Los Angeles, CA 90077-1838
Phone
(310) 966-7877
NPI assigned
Sep 6, 2007
Last updated
May 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT5034 CA Primary

Addresses

Primary practice location

2385 Roscomare Rd
#E8
Los Angeles, CA 90077-1838

Mailing address

2385 Roscomare Rd
#E8
Los Angeles, CA 90077-1838
Phone (213) 840-0814

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

LicenseStateTypeSpecialty
OT5034CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MBJ Therapy, LLC PastSince Oct 31, 2014 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1932394681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 ROSCOMARE RD",
            "address_2": "#E8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771838",
            "telephone_number": "213-840-0814",
            "fax_number": "310-476-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 ROSCOMARE RD",
            "address_2": "#E8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771838",
            "telephone_number": "310-966-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSON",
        "first_name": "MISHELLE",
        "middle_name": "ARGUZON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT5034",
            "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 22, 2015; 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.