Carla Iwata Doyle, MOTRL CHT

Key facts

NPI

1992728075

Entity type

Individual (NPI type 1)

Primary specialty

Hand Occupational Therapist 225XH1200X

License

1031100090 (CA)

Practice address

14538 Lolly LN Ste C
Sonora, CA 95370-8447

Phone

(209) 533-1600

Fax

(209) 533-1611

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

Medicare Care Compare profile

Specialty

Occupational Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100 (individual)

Quality

0

Improvement activities

0

Cost

0

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in CA

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

Other names

• Ms. Carla Melina Iwata Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 25, 2017.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1992728075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14538 LOLLY LN STE C",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708447",
            "telephone_number": "209-533-1600",
            "fax_number": "209-533-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14538 LOLLY LN STE C",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708447",
            "telephone_number": "209-533-1600",
            "fax_number": "209-533-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "CARLA",
        "middle_name": "IWATA",
        "name_prefix": "Mrs.",
        "credential": "MOTRL CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT143",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "1031100090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "IWATA",
            "middle_name": "MELINA",
            "prefix": "MS.",
            "credential": "MOTR/L,CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Sonora, CA · Hand Occupational Therapist in California