Individual provider Active NPI

Kristen Sacramento, MOT

  • Occupational Therapist
  • Corte Madera, CA
National Provider Identifier
1083310817
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23865 Issued in CA
Practice address
500 Tamal PLZ Ste 505
Corte Madera, CA 94925-1184
Phone
(415) 531-3027
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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
Occupational Therapist 225X00000X 23865 CA Primary

Addresses

Primary practice location

500 Tamal PLZ Ste 505
Corte Madera, CA 94925-1184

Mailing address

500 Tamal PLZ Ste 505
Corte Madera, CA 94925-1184
Phone (415) 531-3027

Other names 1

  • Kristen Buginas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603000802 CA Practitioner - Occupational Therapist in Private Practice 6002387859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Physical Therapy Ca PCGroup PAC ID 5698209799, 41 clinicians

Practice addresses (Care Compare)

Palm Desert, CA 92260
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23865CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Hands OT CurrentSince Feb 8, 2023 Accepting new patients

Locations

500 Tamal Plz
Ste 505
Corte Madera, CA 94925
Phone (415) 336-3896

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.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1083310817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TAMAL PLZ STE 505",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251184",
            "telephone_number": "415-531-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TAMAL PLZ STE 505",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251184",
            "telephone_number": "415-531-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACRAMENTO",
        "first_name": "KRISTEN",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BUGINAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.

Verify at the official NPI Registry.