Active NPI
Casey Cho
- Occupational Therapist
- San Leandro, CA
National Provider Identifier
1003573486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20636
- Practice address
- 15206 Shining Star LN
San Leandro, CA 94579-1972 - Phone
- (310) 796-6210
- NPI assigned
- Nov 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 20636 | CA | Primary |
Addresses
Primary practice location
15206 Shining Star LN
San Leandro, CA 94579-1972
Mailing address
328 Brookdale Way
Hayward, CA 94544-6663
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637366400000",
"number": "1003573486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 BROOKDALE WAY",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945446663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15206 SHINING STAR LN",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945791972",
"telephone_number": "310-796-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "CASEY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-20",
"last_updated": "2021-11-20",
"certification_date": "2021-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "20636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.