Active NPI
Tina Yip, COTA
- Occupational Therapy Assistant
- Placentia, CA
National Provider Identifier
1093175937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4772
- Practice address
- 774 S Placentia Ave Ste 200
Placentia, CA 92870-6838 - Phone
- (800) 870-7989
- NPI assigned
- Mar 4, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Occupational Therapy Assistant | 224Z00000X | 4772 | CA | Primary |
Addresses
Primary practice location
774 S Placentia Ave Ste 200
Placentia, CA 92870-6838
Mailing address
514 Sefton Ave Apt a
Monterey Park, CA 91755-3439
Phone (626) 226-8827
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4772 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553385600000",
"number": "1093175937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 SEFTON AVE APT A",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917553439",
"telephone_number": "626-226-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 S PLACENTIA AVE STE 200",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706838",
"telephone_number": "800-870-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIP",
"first_name": "TINA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-04",
"last_updated": "2019-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "4772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.