Individual provider Active NPI

Sara Ellen Oneill

  • Occupational Therapist
  • Lake Forest, CA
National Provider Identifier
1053824540
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
25325 Issued in CA
Practice address
22691 Lambert St Ste 502
Lake Forest, CA 92630-1614
Phone
(949) 273-6503
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
25325CAMDDentist
17-0960NVMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Kids Corporation Occupational Therapist PastSince Sep 10, 2023 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.