Jacob Baquir, MHA, OTR/L
Individual provider Active NPI Occupational Therapist · Carson, CA
NPI 1003299736 · NPPES record last updated Jun 30, 2015
Key facts
- NPI
- 1003299736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT 8854 (CA)
- Practice address
- 424 W 231St St
Carson, CA 90745-4637 - Phone
- (310) 408-5611
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 8854 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 8854 | CA | Yes |
Addresses
Primary practice location
424 W 231St St
Carson, CA 90745-4637
Mailing address
424 W 231St St
Carson, CA 90745-4637
Other providers in Carson, CA
- Bajo DMD & Liwanag DMD Inc
- Angeles Bugayong Bajo
- Sharon Baker-Harris
- Cappie Baker
- Cheri Carroll Baltra
- Amanda Michelle Baraga
- Stephanie Pabalan Rolando Barela
- Lavonde Barnes
- Christina Denise Barraza
- Mary Stephanie Barrera
All providers in Carson, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.