Active NPI
Katrina Angela Nunez I, C.O.T.A.
- Occupational Therapy Assistant
- Anaheim, CA
National Provider Identifier
1013224088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA1493
- Practice address
- 300 S Harbor Blvd
Suite 710
Anaheim, CA 92805-3733 - Phone
- (800) 561-5207
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | OTA1493 | CA | Primary |
Addresses
Primary practice location
300 S Harbor Blvd
Suite 710
Anaheim, CA 92805-3733
Mailing address
8112 City Lights Dr
Aliso Viejo, CA 92656-2661
Phone (714) 679-8751
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA1493 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1013224088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8112 CITY LIGHTS DR",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926562661",
"telephone_number": "714-679-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S HARBOR BLVD",
"address_2": "SUITE 710",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053733",
"telephone_number": "800-561-5207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "KATRINA",
"middle_name": "ANGELA",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "C.O.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "OTA1493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.