Individual provider Active NPI

David Jireh Peig, OTR/L

  • Occupational Therapist
  • Corona, CA
National Provider Identifier
1003513748
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24596 Issued in CA
Practice address
4300 Green River Rd Ste 114
Corona, CA 92878-2306
Phone
(951) 382-4238
NPI assigned
Feb 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 24596 CA Primary

Addresses

Primary practice location

4300 Green River Rd Ste 114
Corona, CA 92878-2306

Mailing address

539 Bourdet St
Walnut, CA 91789-2606
Phone (909) 618-5309

Other practice location 1

701 E 28th St Ste 111
Long Beach, CA 90806-2715
Phone (909) 963-0798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603002968 CA Practitioner - Occupational Therapist in Private Practice 1355883539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24596CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tone Physical Therapy and Rehab CurrentSince Feb 19, 2023 Accepting new patients
Limitless Rehabilitation and Performance Occupational Therapist CurrentSince Aug 28, 2023 Accepting new patients
Kevin O. Lawrence MD Inc PastSince Feb 19, 2023 Accepting new patients

Locations

6131 Orangethorpe Ave
Ste 190
Buena Park, CA 90620
Phone (714) 705-4290

4300 Green River Rd
Ste 114
Corona, CA 92878
Phone (951) 382-4238

701 E 28th St
Ste 301
Long Beach, CA 90806
Phone (562) 337-8190

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1003513748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BOURDET ST",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892606",
            "telephone_number": "909-618-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GREEN RIVER RD STE 114",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928782306",
            "telephone_number": "951-382-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E 28th St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062715",
            "country_code": "US",
            "telephone_number": "909-963-0798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEIG",
        "first_name": "DAVID JIREH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.