NPIMap

Kimberly J Evans Otr L CHT Professional Corporation

A Medicare group practice based in Orange, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4183993066), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183993066The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Independently-Practicing Occupational Therapist, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20170710000105 CA Part B Supplier - Clinic/Group Practice 1871022756
O20170918002238 CA DME Supplier - Independently-Practicing Occupational Therapist 1871022756
O20240325002685 CA DME Supplier - Independently-Practicing Occupational Therapist 1346001005

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page