Active NPI
Patrice Annie Udo, OTD
- Occupational Therapist
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 438578
- Practice address
- 1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434 - Phone
- (909) 890-9030
- Fax
- (909) 890-4393
- NPI assigned
- Sep 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 438578 | CA | Primary |
Addresses
Primary practice location
1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Mailing address
1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Phone (909) 890-9030
Other practice location 1
3700 E Tachevah Dr Ste 107
Palm Springs, CA 92262-7402
Phone (760) 459-0003
Other practice location 2
802 Magnolia Ave Ste 107
Corona, CA 92879-3125
Phone (951) 340-0070
Other practice location 3
3400 Central Ave Ste 145
Riverside, CA 92506-2161
Phone (951) 297-3399
Other practice location 4
46900 Monroe St Bldg C Ste 304
Indio, CA 92201-4829
Phone (760) 289-3010
Other practice location 5
100 N Barranca St Ste 380
West Covina, CA 91791-1623
Phone (626) 331-8355
Other practice location 6
10470 Foothill Blvd Ste 101
Rancho Cucamonga, CA 91730-3754
Phone (909) 948-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053928291 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Central Ave
Suite 145
Riverside, CA 92506-2161
Phone (909) 890-9030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 438578 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Therapy Network Incorporated | Occupational Therapist | Current | Accepting new patients |
| Map Healthcare | Occupational Therapist | Current | Accepting new patients |
| United Therapy Network Incorporated | Occupational Therapist | Current | Accepting new patients |
| United Therapy Network Incorporated | Occupational Therapist | Current | Accepting new patients |
| Kimberly J Evans Otr L CHT Professional Corporation | Occupational Therapist | Past | Accepting new patients |
| Kimberly J Evans Otr L CHT Professional Corporation | Occupational Therapist | Past | Accepting new patients |
Locations
802 Magnolia Ave
Ste 107
Corona, CA 92879
Phone (951) 340-0070
1902 Royalty Dr
Ste 220
Pomona, CA 91767
Phone (909) 570-3108
3400 Central Ave
Ste 145
Riverside, CA 92506
Phone (951) 297-3399
1845 Business Center Dr
Ste 127
Sn Bernrdno, CA 92408
Phone (909) 890-9030
100 N Barranca St
Ste 380
West Covina, CA 91791
Phone (626) 331-8355
Organizations & group practices 6
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.
-
- Physical Therapist
- Corona, CA
- NPI 1669691051
Occupational Therapist
-
- Occupational Therapist
- Rowland Heights, CA
- NPI 1720797673
-
- Physical Therapist
- Riverside, CA
- NPI 1629693619
Occupational Therapist
-
- Physical Therapist
- Rancho Cucamonga, CA
- NPI 1982859021
Occupational Therapist
-
- Occupational Therapist
- Temecula, CA
- NPI 1346001005
-
- Hand Occupational Therapist
- Orange, CA
- NPI 1871022756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1053928291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 BUSINESS CENTER DR STE 127",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083434",
"telephone_number": "909-890-9030",
"fax_number": "909-890-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 BUSINESS CENTER DR STE 127",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083434",
"telephone_number": "909-890-9030",
"fax_number": "909-890-4393"
}
],
"practiceLocations": [
{
"address_1": "3700 E Tachevah Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922627402",
"country_code": "US",
"telephone_number": "760-459-0003",
"fax_number": "760-656-0614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "802 Magnolia Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928793125",
"country_code": "US",
"telephone_number": "951-340-0070",
"fax_number": "951-340-9188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Central Ave Ste 145",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925062161",
"country_code": "US",
"telephone_number": "951-297-3399",
"fax_number": "951-297-3404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46900 Monroe St Bldg C Ste 304",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922014829",
"country_code": "US",
"telephone_number": "760-289-3010",
"fax_number": "760-863-1871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 N Barranca St Ste 380",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917911623",
"country_code": "US",
"telephone_number": "626-331-8355",
"fax_number": "626-331-8165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10470 Foothill Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917303754",
"country_code": "US",
"telephone_number": "909-948-0411",
"fax_number": "909-948-0511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UDO",
"first_name": "PATRICE",
"middle_name": "ANNIE",
"name_prefix": "Ms.",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "438578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053928291",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.