Individual provider Active NPI

Lynn Annette Herzberg, COTA/C

  • Occupational Therapy Assistant
  • Laguna Hills, CA
National Provider Identifier
1003082637
Registry record updated May 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1756 Issued in CA
Practice address
23293 S Pointe Dr
Laguna Hills, CA 92653-1447
Phone
(949) 770-5843
NPI assigned
May 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1756 CA Primary

Addresses

Primary practice location

23293 S Pointe Dr
Laguna Hills, CA 92653-1447

Mailing address

19451 Dorado Dr
Trabuco Canyon, CA 92679-1610
Phone (949) 459-6277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1756CAMDAdvanced Practice Midwife

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209859200000",
    "number": "1003082637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19451 DORADO DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791610",
            "telephone_number": "949-459-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23293 S POINTE DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531447",
            "telephone_number": "949-770-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZBERG",
        "first_name": "LYNN",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "COTA/C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "1756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.