Shannon Ijams, MA, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3027 Issued in CA

Practice address

23293 S Pointe Dr
Laguna Hills, CA 92653-1447

Phone

(949) 770-5843

NPI assigned

Oct 13, 2008

Last updated

Oct 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1033361753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23293 S POINTE DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531447",
            "telephone_number": "949-770-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23293 S POINTE DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531447",
            "telephone_number": "949-770-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJAMS",
        "first_name": "SHANNON",
        "credential": "MA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "3027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Hyman I, LCSW
• Dominique Hysmith
• I S Gujral MD
• Mena Ibrahim, DPM
• Stephen John Ierardi, MD
• Caitlin Illson
• Alan Inda-Maldonado
• Tabitha Indries
• Seana Inducil, BCBA
• Inland Psychiatric Medical Group, Inc

• Pediatric Occupational Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.