8400 De Longpre Ave Apt 403, Los Angeles, CA 90069
Phone
(925) 667-8384
Listed under
Pediatric occupational therapy
NPI
1043609563
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Occupational Therapist, Pediatrics (225XP0200X)
Credentials listed
OTD, OTR/L
License number on NPI record
17071 (CA)
NPI first issued
Jan 21, 2015
NPI record last updated
Jan 8, 2020
NPI 1043609563 is active in the federal NPPES registry (CMS); license 17071 (CA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.
What these registry facts mean
The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric occupational therapists help children with fine motor skills, self-care, sensory processing, handwriting and feeding.
Checking a license: the number above is what the provider entered in the NPI registry. Your state licensing board's lookup shows whether it is current. For individual therapists, ASHA (speech) and NBCOT (occupational therapy) let you verify national certification.