Anna-Lorraine Gonzaga Holley, OTR/L, C/NDT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 1262 Issued in CA

Practice address

15454 Gale Ave
Suite F
Hacienda Heights, CA 91745-1500

Phone

(626) 330-1538

Fax

(626) 239-1868

NPI assigned

Sep 28, 2009

Last updated

Dec 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna-Lorraine Gonzaga Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Step-by-Step Pediatric Therapy, Inc.

  • Pediatric Occupational Therapist
  • Hacienda Heights, CA
  • NPI 1336472042

  Pediatrics

  NPD (past)
• Step-by-Step Pediatric Therapy, Inc.

  • Occupational Medicine Clinic/Center
  • Hacienda Heights, CA
  • NPI 1790169183
  NPD (past)

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1033443890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 CANON LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095247",
            "telephone_number": "909-282-0231",
            "fax_number": "909-606-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15454 GALE AVE",
            "address_2": "SUITE F",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451500",
            "telephone_number": "626-330-1538",
            "fax_number": "626-239-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "ANNA-LORRAINE",
        "middle_name": "GONZAGA",
        "credential": "OTR/L, C/NDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 1262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA-LORRAINE",
            "last_name": "GONZAGA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tritia Liang Herrera, MOT, OTR/L
• Jhalen Hill
• Breanne Ho
• Leyi Ho
• Ying Ho
• Chong San Hone, M.D.
• Daniel Honigman, M.D.
• Gabriel Hood
• Daniel James Hou, M.D.
• Ray Hsiao, MD

• Pediatric Occupational Therapist in Hacienda Heights, CA
• Providers in Hacienda Heights, 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 Dec 13, 2021; 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.