PRISCILLA PARK


Address: 11500 Nimitz Ave, Los Angeles, CA 90049-3566
Phone: 7602423963

PRISCILLA PARK (NPI# 1932447232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932447232
Entity Type Individual
Full Name PRISCILLA PARK
Practice Address 11500 Nimitz Ave
Los Angeles
CA 90049-3566
Practice Telephone 7602423963
Practice Fax Number 7602421066
Mailing Telephone 7602423963
Mailing Fax Number 7602421066
Enumeration Date 2013-01-21
Last Update Date 2013-01-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT12142 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers PRISCILLA PARK

NPI Name Taxonomy Address Enumeration
1023298460 Priscilla Park Physical Therapist 3150 18th St Ste 438, San Francisco, CA 94110-2077 2007-11-13
1518094507 Priscilla Stewart Park Psychiatry & Neurology 29398 Recovery Way, Junction City, OR 97448-8442 2007-02-27
1750912606 Priscilla Park Student in an Organized Health Care Education/Training Program 530 Nw 27th St, Corvallis, OR 97330-5223 2020-01-30
1043704232 Priscilla J Park Occupational Therapist 3900 Jermantown Rd, Fairfax, VA 22030-4900 2018-06-20
1447618939 Priscilla Park Technician, Other 1901 Carnegie Ave Ste 1c, Santa Ana, CA 92705-5504 2016-01-29

Office Location

Street Address 11500 NIMITZ AVE
City LOS ANGELES
State CA
Zip Code 90049-3566

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306897053 Robert Elliot Neshkes Psychiatry & Neurology 11500 Nimitz Ave, Los Angeles, CA 90049-3566 2006-05-15
1174149231 Parastoo Shadmani Dietitian, Registered 11500 Nimitz Ave, Los Angeles, CA 90049-3566 2020-06-24
1689192346 Suzanne Marie Banda Speech-Language Pathologist 11500 Nimitz Ave, Los Angeles, CA 90049-3566 2017-09-01
1043659931 Sun Chang Occupational Therapist 11500 Nimitz Ave, Los Angeles, CA 90049-3566 2013-06-24
1639413503 Robert Stephen Wilkes Social Worker 11500 Nimitz Ave, Los Angeles, CA 90049-3566 2012-11-16
1477826709 Jennifer C Wu Pharmacist 11500 Nimitz Ave, Attn: Pharmacy, Los Angeles, CA 90049-3566 2012-02-16
1659691178 Stanley T Nomura Pharmacist 11500 Nimitz Ave, Pharmacy Dept, Los Angeles, CA 90049-3566 2010-06-07
1821316076 Department of Veterans Affairs of The State of California Assisted Living Facility 11500 Nimitz Ave, Los Angeles, CA 90049-3566 2010-05-12
1093942179 Kistyn Joi Gritney Social Worker 11500 Nimitz Ave, Los Angeles, CA 90049-3566 2009-06-16
1508914573 Warren Frederick Gold Surgery 11500 Nimitz Ave, Los Angeles, CA 90049-3566 2007-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316564339 Kepp Family & Group Practice Marriage & Family Therapist 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 2020-06-26
1386204493 Steven J Lehrman Marriage & Family Therapist 179 S. Barrington Place, Office A, Los Angeles, CA 90049 2019-06-20
1922562990 Jand. Inc. Eyewear Supplier (Equipment, not the service) 860 S. Sepulveda Blvd., Los Angeles, CA 90049 2019-01-24
1851864946 Christie Schnur Marriage & Family Therapist 11911 San Vicente Blvd., Los Angeles, CA 90049 2019-01-10
1669954012 Barbara Jiji Schenk Marriage & Family Therapist 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 2018-09-02
1972090710 Community Reflections Inc Counselor 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 2018-04-17
1245738830 Dr. Shirin Tabib LLC Marriage & Family Therapist 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 2018-01-29
1295240679 Robert A Brooks Preventive Medicine 149 South Barrington Ave, #346, Los Angeles, CA 90049 2017-12-07
1598286478 Marvin S Serrano Physical Therapy Assistant 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 2017-06-30
1972055812 Evolve Growth Initiatives, LLC Psychiatric Residential Treatment Facility 820 Moraga Drive, Los Angeles, CA 90049 2016-10-26
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548875024 Sharon Kim Lee Occupational Therapist 1015 Figueroa Ter Apt 11, Los Angeles, CA 90012-4603 2020-09-11
1295348175 Care for Me Ot Occupational Therapist 1551 Manning Ave Apt 203, Los Angeles, CA 90024-7412 2020-08-28
1093328395 Sabrina Sabet Occupational Therapist 10833 Wilshire Blvd Apt 522, Los Angeles, CA 90024-4385 2020-08-26
1740892645 Ellen Park Occupational Therapist 3148 W 11th St, Los Angeles, CA 90006-2322 2020-08-20
1235747692 Amandarose Prado Webb Occupational Therapist 3112 Bagley Ave Apt 7, Los Angeles, CA 90034-2939 2020-07-21
1447868641 Myra Jeanne Chang Occupational Therapist 3036 Stoner Ave, Los Angeles, CA 90066-1108 2020-07-14
1003434846 Brian Chen Occupational Therapist 4205 Lockwood Ave # 3, Los Angeles, CA 90029-2917 2020-07-08
1023630639 Spot for Kids Inc Occupational Therapist 2234 S Canfield Ave, Los Angeles, CA 90034-1134 2020-05-18
1942839097 Rebecca Lindsey Moss Occupational Therapist 2115 Ridge Dr, Los Angeles, CA 90049-1153 2020-04-01
1538795000 Lauren Monique Espinoza Occupational Therapist 1540 Alcazar St # Steet133, Los Angeles, CA 90089-0186 2020-03-17
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Competitor

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City LOS ANGELES
Zip Code 90049

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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