Active NPI
Brian Delposo, O.T.
- Occupational Therapist
- Chula Vista, CA
National Provider Identifier
1053497891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT7496
- Practice address
- 3130 Bonita Rd Ste 100
Chula Vista, CA 91910-3263 - Phone
- (619) 585-7104
- Fax
- (619) 585-7106
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- 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 Therapist | 225X00000X | OT7496 | CA | Primary |
Addresses
Primary practice location
3130 Bonita Rd Ste 100
Chula Vista, CA 91910-3263
Mailing address
6131 Rancho Mission Rd Unit 302
San Diego, CA 92108-2250
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT7496 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDRS Spine & Sport, Inc | Occupational Therapist | Past | Accepting new patients |
| MDRS Spine & Sport, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053497891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6131 RANCHO MISSION RD UNIT 302",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 BONITA RD STE 100",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919103263",
"telephone_number": "619-585-7104",
"fax_number": "619-585-7106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELPOSO",
"first_name": "BRIAN",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT7496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.