Individual provider Active NPI

Claudell Gapultos

  • Pediatric Occupational Therapist
  • Costa Mesa, CA
National Provider Identifier
1073458253
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2366 Issued in CA
Practice address
2985 Bear St
Costa Mesa, CA 92626-4300
Phone
(949) 515-6624
NPI assigned
Apr 22, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 2366 CA
Pediatric Occupational Therapist 225XP0200X 2366 CA Primary

Addresses

Primary practice location

2985 Bear St
Costa Mesa, CA 92626-4300

Mailing address

154 Brookside LN
Brea, CA 92821-4349
Phone (562) 884-1633

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

State licenses

LicenseStateTypeSpecialty
2366CAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1073458253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BROOKSIDE LN",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214349",
            "telephone_number": "562-884-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 BEAR ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264300",
            "telephone_number": "949-515-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAPULTOS",
        "first_name": "CLAUDELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2366",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "2366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.