Active NPI
Sara Ellen Oneill
- Occupational Therapist
- Lake Forest, CA
National Provider Identifier
1053824540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25325
- Practice address
- 22691 Lambert St Ste 502
Lake Forest, CA 92630-1614 - Phone
- (949) 273-6503
- NPI assigned
- Nov 7, 2017
- Last updated
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 25325 | CA | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 17-0960 | NV |
Addresses
Primary practice location
22691 Lambert St Ste 502
Lake Forest, CA 92630-1614
Mailing address
873 Longhorn Way
Rancho Mission Viejo, CA 92694-1673
Other practice location 1
750 Coronado Center Dr
Henderson, NV 89052-5034
Phone (702) 564-4116
Other names 1
- Sara Dolensky
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 |
|---|---|---|---|
| 25325 | CA | MD | Occupational Therapist |
| 17-0960 | NV | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Kids Corporation | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1053824540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "873 LONGHORN WAY",
"city": "RANCHO MISSION VIEJO",
"state": "CA",
"postal_code": "926941673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22691 LAMBERT ST STE 502",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301614",
"telephone_number": "949-273-6503"
}
],
"practiceLocations": [
{
"address_1": "750 Coronado Center Dr",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890525034",
"country_code": "US",
"telephone_number": "702-564-4116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONEILL",
"first_name": "SARA",
"middle_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "25325",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NV",
"license": "17-0960",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "DOLENSKY",
"credential": "MOT, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.