Individual provider Active NPI

Maureen R Natividad, MAUREEN NATIVIDAD

  • Occupational Therapist
  • Van Nuys, CA
National Provider Identifier
1942550884
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12842 Issued in CA
Practice address
17619 Sherman Way
Van Nuys, CA 91406-3510
Phone
(818) 334-0374
NPI assigned
Sep 19, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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 12842 CA Primary

Addresses

Primary practice location

17619 Sherman Way
Van Nuys, CA 91406-3510

Mailing address

17619 Sherman Way
Van Nuys, CA 91406-3510
Phone (818) 334-0374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000643 CA Practitioner - Occupational Therapist in Private Practice 9537312103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

3210 Sepulveda Blvd
Torrance, CA 90505-2719
Phone (732) 994-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12842CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehab Inc CurrentSince Apr 1, 2021 Accepting new patients
CRS Physical Therapy Inc. CurrentSince Nov 29, 2025 Accepting new patients
Rehab Alliance CurrentSince Jan 29, 2024 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Apr 1, 2021 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Occupational Therapist CurrentSince Jan 29, 2024 Accepting new patients
Feld Care Therapy Inc Occupational Therapist CurrentSince Jan 31, 2022 Accepting new patients
Feld Care Therapy Inc Occupational Therapist Past Accepting new patients
G&H Rehab Inc Occupational Therapist PastSince May 26, 2012 Accepting new patients
Care First Physical Therapy Rehab Inc Occupational Therapist Past Accepting new patients

Locations

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

650 Harrison Ave
Claremont, CA 91711
Phone (888) 627-2900

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

22995 Mill Creek Dr
Ste A
Laguna Hills, CA 92653

3340 Shelby Dr
Los Angeles, CA 90034
Phone (833) 947-3826

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

3575 N Moorpark Rd
Thousand Oaks, CA 91360
Phone (805) 244-8422

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 9

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1942550884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17619 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063510",
            "telephone_number": "818-334-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17619 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063510",
            "telephone_number": "818-334-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIVIDAD",
        "first_name": "MAUREEN",
        "middle_name": "R",
        "credential": "MAUREEN NATIVIDAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.