NPIMap

Organization Active NPI

Easter Seal Society of Superior California

  • Occupational Therapist
  • Sacramento, CA
National Provider Identifier
1013312735
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2539 Issued in CA
Legal business name
EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA
Practice address
3205 Hurley Way
Sacramento, CA 95864-3853
Phone
(916) 679-3108
Fax
(916) 485-6711
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Hoan Nguyen
Title
Cfo
Phone
(916) 485-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 2539 CA Primary

Addresses

Primary practice location

3205 Hurley Way
Sacramento, CA 95864-3853

Mailing address

3205 Hurley Way
Sacramento, CA 95864-3853
Phone (916) 679-3108

Other practice location 1

7273 Murray Dr Ste 1
Stockton, CA 95210-3385
Phone (209) 957-3625

Other names 1

  • Easter Seals Superior California Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Easter Seal Society of Superior California6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1013312735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 HURLEY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958643853",
            "telephone_number": "916-679-3108",
            "fax_number": "916-485-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 HURLEY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958643853",
            "telephone_number": "916-679-3108",
            "fax_number": "916-485-6711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7273 Murray Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952103385",
            "country_code": "US",
            "telephone_number": "209-957-3625",
            "fax_number": "209-957-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-485-6711"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals Superior California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.