Active NPI
Jonathan Tin Chee Lum, OT
- Hand Occupational Therapist
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 3188
- Practice address
- 2702 Low CT
Fairfield, CA 94534-9771 - Phone
- (707) 432-2660
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 3188 | CA | Primary |
Addresses
Primary practice location
2702 Low CT
Fairfield, CA 94534-9771
Mailing address
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1535 River Park Dr
Suite 1000
Sacramento, CA 95815-4601
Phone (916) 286-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.11 of 100
- Quality
- 86.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients |
Locations
8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955
9390 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 683-3950
4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700
1535 River Park Dr
Ste 1000
Sacramento, CA 95815
Phone (916) 286-1000
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
- Sacramento, CA
- NPI 1952998973
-
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1073722971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 LOW CT",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945349771",
"telephone_number": "707-432-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "JONATHAN",
"middle_name": "TIN CHEE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "3188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.