FELICIA A. OTA, M.D., INC.
NPI 1124353107
Obstetrics & Gynecology in Encino, CA

Active since October 09, 2009CLIA 05D2001771 · Waiver
15503 VENTURA BOULEVARD, SUITE 200B, ENCINO, CA 91436(818) 708-1090(818) 708-3238 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Felicia A. Ota, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FELICIA A. OTA, M.D., INC. (NPI 1124353107) is a healthcare organization registered as an obstetrics & gynecology in Encino, California and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Felicia Ann Ota, President, as its authorized official.

NPPES Registry Identity

NPI1124353107
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameFELICIA A. OTA, M.D., INC.
Location Address15503 VENTURA BOULEVARD, SUITE 200BEncino, CA 91436
Mailing Address15503 Ventura Boulevard, Suite 200bEncino, CA 91436 · (818) 708-1090 · Fax (818) 708-3238
Fax(818) 708-3238
Organization SubpartNo
Authorized OfficialFelicia Ann OtaPresident · (818) 708-1090
Enumeration DateOctober 9, 2009
Last NPPES UpdateNovember 19, 2014
NPI 1124353107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A65703
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

15503 VENTURA BOULEVARD, Encino, CA 91436

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2001771

Felicia A Ota, MD Inc · Encino, CA
Active · expires Jan 20, 2027
CLIA Number05D2001771
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorFelicia Ota
Laboratory Phone(818) 708-1090
Laboratory LocationFelicia A Ota, MD Inc15503 Ventura Blvd Ste 200b, Encino, CA 91436
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
15503 VENTURA BOULEVARD, SUITE 390A
ENCINO, CA 91436
Obstetrics & Gynecology
15503 VENTURA BOULEVARD, SUITE 200B
ENCINO, CA 91436

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124353107, enumerated as an "organization" on October 09, 2009.

The provider is located at 15503 VENTURA BOULEVARD SUITE 200B ENCINO, CA 91436 and the phone number is (818) 708-1090.

Obstetrics & Gynecology with taxonomy code 207V00000X.