Individual provider Active NPI

Deidra McGaughy

  • Occupational Therapy Assistant
  • Anaheim, CA
National Provider Identifier
1043033939
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
6461 Issued in CA
Practice address
140 S Chaparral CT Ste 160
Anaheim, CA 92808-2283
Phone
(714) 794-5889
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 6461 CA Primary

Addresses

Primary practice location

140 S Chaparral CT Ste 160
Anaheim, CA 92808-2283

Mailing address

13921 Tustin East Dr Apt C84
Tustin, CA 92780-5932
Phone (810) 919-2369

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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1043033939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 TUSTIN EAST DR APT C84",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927805932",
            "telephone_number": "810-919-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S CHAPARRAL CT STE 160",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082283",
            "telephone_number": "714-794-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAUGHY",
        "first_name": "DEIDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "6461",
            "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 Nov 7, 2024; 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.