Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Luis Medrano, OTR/L

Individual provider Occupational Therapist · NPI 1487530788

Luis Medrano, OTR/L is an Occupational Therapist in Private Practice in Simi Valley, California. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1855 Cochran St Ste 109
Simi Valley, CA 93065-2265
Phone: (805) 526-2311
Fax: (805) 526-6608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 137 E Thousand Oaks Blvd, Thousand Oaks, CA 91360-5707 — (805) 379-2132

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 27954 (CA)

Record details

NPI number1487530788
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address1203 Flynn Rd Unit 160, Camarillo, CA 93012-6203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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